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#7519 of 11K

Z5906

HCPCS Procedure Code

HCPCS code Z5906 is the #7,519 most-billed Medicaid procedure code, with $16K in payments across 422 claims from 2018–2024. The national median cost per claim is $34.87.

Total Paid

$16K

0.00% of all spending

Total Claims

422

Providers

3

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for Z5906? Based on 3 providers billing this code nationally.

Median

$34.87

Average

$39.27

Std Dev

$8.01

Max

$48.51

Percentile Distribution (Cost per Claim)

p10
$34.51
p25
$34.65
Median
$34.87
p75
$41.69
p90
$45.78
p95
$47.15
p99
$48.24

50% of providers bill between $34.65 and $41.69 per claim for this code.

90% bill between $34.51 and $45.78.

Top 1% bill above $48.24.

About This Procedure

HCPCS code Z5906 was billed by 3 providers across 422 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 411 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.87

Providers Billing

3

National Spending

$16K

Avg/Median Ratio

1.13×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.