Z5920
HCPCS Procedure Code
HCPCS code Z5920 is the #6,381 most-billed Medicaid procedure code, with $70K in payments across 4K claims from 2018–2024. The national median cost per claim is $13.97.
Total Paid
$70K
0.00% of all spending
Total Claims
4K
Providers
7
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for Z5920? Based on 7 providers billing this code nationally.
Median
$13.97
Average
$17.12
Std Dev
$4.22
Max
$21.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.74 and $21.60 per claim for this code.
90% bill between $13.58 and $21.67.
Top 1% bill above $21.70.
About This Procedure
HCPCS code Z5920 was billed by 7 providers across 4K claims, totaling $70K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.97
Providers Billing
7
National Spending
$70K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5920
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902846306 | $21K |
| 2 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $15K |
| 3 | 1215993704 | $12K |
| 4 | 1467442749 | $9K |
| 5 | 1598854846 | $9K |
| 6 | 1962800235 | $4K |
| 7 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $260 |
Showing top 7 of 7 providers billing this code