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#7737 of 11K

Z5964

HCPCS Procedure Code

HCPCS code Z5964 is the #7,737 most-billed Medicaid procedure code, with $11K in payments across 227 claims from 2018–2024. The national median cost per claim is $42.02.

Total Paid

$11K

0.00% of all spending

Total Claims

227

Providers

2

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for Z5964? Based on 2 providers billing this code nationally.

Median

$42.02

Average

$42.02

Std Dev

$11.68

Max

$50.29

Percentile Distribution (Cost per Claim)

p10
$35.42
p25
$37.89
Median
$42.02
p75
$46.16
p90
$48.63
p95
$49.46
p99
$50.12

50% of providers bill between $37.89 and $46.16 per claim for this code.

90% bill between $35.42 and $48.63.

Top 1% bill above $50.12.

About This Procedure

HCPCS code Z5964 was billed by 2 providers across 227 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 207 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.02

Providers Billing

2

National Spending

$11K

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.

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