Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4438 of 11K

Z5924

HCPCS Procedure Code

HCPCS code Z5924 is the #4,438 most-billed Medicaid procedure code, with $590K in payments across 12K claims from 2018–2024. The national median cost per claim is $46.62.

Total Paid

$590K

0.00% of all spending

Total Claims

12K

Providers

12

Avg Cost/Claim

$49

National Cost Distribution

How much do providers bill per claim for Z5924? Based on 12 providers billing this code nationally.

Median

$46.62

Average

$50.42

Std Dev

$9.85

Max

$69.65

Percentile Distribution (Cost per Claim)

p10
$43.64
p25
$43.77
Median
$46.62
p75
$51.05
p90
$68.12
p95
$69.40
p99
$69.60

50% of providers bill between $43.77 and $51.05 per claim for this code.

90% bill between $43.64 and $68.12.

Top 1% bill above $69.60.

About This Procedure

HCPCS code Z5924 was billed by 12 providers across 12K claims, totaling $590K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.62

Providers Billing

12

National Spending

$590K

Avg/Median Ratio

1.08×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z5924

#ProviderTotal Paid
11386162949$160K
21710065933$95K
31275583205$89K
41902846306$71K
51467442749$55K
61366489197$28K
71598854846$25K
81962800235$25K
9Regents Of The University Of California

Sacramento, CA · General Acute Care Hospital

$21K
101134218332$17K
111215993704$5K
121487959938$1K

Showing top 12 of 12 providers billing this code