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#8028 of 11K

Z5968

HCPCS Procedure Code

HCPCS code Z5968 is the #8,028 most-billed Medicaid procedure code, with $7K in payments across 219 claims from 2018–2024. The national median cost per claim is $32.32.

Total Paid

$7K

0.00% of all spending

Total Claims

219

Providers

2

Avg Cost/Claim

$32

National Cost Distribution

How much do providers bill per claim for Z5968? Based on 2 providers billing this code nationally.

Median

$32.32

Average

$32.32

Std Dev

$0.52

Max

$32.69

Percentile Distribution (Cost per Claim)

p10
$32.03
p25
$32.14
Median
$32.32
p75
$32.51
p90
$32.62
p95
$32.65
p99
$32.68

50% of providers bill between $32.14 and $32.51 per claim for this code.

90% bill between $32.03 and $32.62.

Top 1% bill above $32.68.

About This Procedure

HCPCS code Z5968 was billed by 2 providers across 219 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 219 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.32

Providers Billing

2

National Spending

$7K

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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