Z5946
HCPCS Procedure Code
HCPCS code Z5946 is the #3,043 most-billed Medicaid procedure code, with $2.7M in payments across 991 claims from 2018–2024. The national median cost per claim is $2,716.72.
Total Paid
$2.7M
0.00% of all spending
Total Claims
991
Providers
3
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for Z5946? Based on 3 providers billing this code nationally.
Median
$2,716.72
Average
$2,866.70
Std Dev
$478.00
Max
$3,401.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,599.20 and $3,059.22 per claim for this code.
90% bill between $2,528.69 and $3,264.71.
Top 1% bill above $3,388.01.
About This Procedure
HCPCS code Z5946 was billed by 3 providers across 991 claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 987 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,716.72
Providers Billing
3
National Spending
$2.7M
Avg/Median Ratio
1.06×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.