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#7492 of 11K

Z5940

HCPCS Procedure Code

HCPCS code Z5940 is the #7,492 most-billed Medicaid procedure code, with $16K in payments across 176 claims from 2018–2024. The national median cost per claim is $95.23.

Total Paid

$16K

0.00% of all spending

Total Claims

176

Providers

2

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for Z5940? Based on 2 providers billing this code nationally.

Median

$95.23

Average

$95.23

Std Dev

$5.54

Max

$99.15

Percentile Distribution (Cost per Claim)

p10
$92.10
p25
$93.27
Median
$95.23
p75
$97.19
p90
$98.36
p95
$98.75
p99
$99.07

50% of providers bill between $93.27 and $97.19 per claim for this code.

90% bill between $92.10 and $98.36.

Top 1% bill above $99.07.

About This Procedure

HCPCS code Z5940 was billed by 2 providers across 176 claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 94 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.23

Providers Billing

2

National Spending

$16K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.