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#7661 of 11K

Z5956

HCPCS Procedure Code

HCPCS code Z5956 is the #7,661 most-billed Medicaid procedure code, with $12K in payments across 463 claims from 2018–2024. The national median cost per claim is $27.41.

Total Paid

$12K

0.00% of all spending

Total Claims

463

Providers

2

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for Z5956? Based on 2 providers billing this code nationally.

Median

$27.41

Average

$27.41

Std Dev

$2.07

Max

$28.87

Percentile Distribution (Cost per Claim)

p10
$26.24
p25
$26.68
Median
$27.41
p75
$28.14
p90
$28.58
p95
$28.73
p99
$28.84

50% of providers bill between $26.68 and $28.14 per claim for this code.

90% bill between $26.24 and $28.58.

Top 1% bill above $28.84.

About This Procedure

HCPCS code Z5956 was billed by 2 providers across 463 claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 461 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.41

Providers Billing

2

National Spending

$12K

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.