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)
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.