Z5999
HCPCS Procedure Code
HCPCS code Z5999 is the #1,199 most-billed Medicaid procedure code, with $33.7M in payments across 88K claims from 2018–2024. The national median cost per claim is $373.86. Costs vary widely — the 90th percentile is $993.77 per claim, 2.7× the median.
Total Paid
$33.7M
0.00% of all spending
Total Claims
88K
Providers
17
Avg Cost/Claim
$382
National Cost Distribution
How much do providers bill per claim for Z5999? Based on 17 providers billing this code nationally.
Median
$373.86
Average
$2,100.40
Std Dev
$6,921.20
Max
$28,938.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $278.13 and $569.75 per claim for this code.
90% bill between $173.13 and $993.77.
Top 1% bill above $24,483.44.
About This Procedure
HCPCS code Z5999 was billed by 17 providers across 88K claims, totaling $33.7M in Medicaid payments from 2018–2024. This code was used for 66K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$373.86
Providers Billing
17
National Spending
$33.7M
Avg/Median Ratio
5.62×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Z5999
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295801421 | $10.5M |
| 2 | 1245259282 | $6.8M |
| 3 | Minimed Distribution Corp. Northridge, CA · Durable Medical Equipment & Medical Supplies | $3.4M |
| 4 | 1629214689 | $3.0M |
| 5 | 1154306231 | $1.7M |
| 6 | 1184777286 | $1.7M |
| 7 | 1013998921 | $1.5M |
| 8 | 1356716534 | $1.2M |
| 9 | 1750835773 | $1.1M |
| 10 | 1538583232 | $1.0M |
| 11 | 1013913458 | $739K |
| 12 | 1427351311 | $682K |
| 13 | 1114113115 | $222K |
| 14 | 1770583387 | $107K |
| 15 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $86K |
| 16 | 1215098470 | $55K |
| 17 | 1558735639 | $49K |
Showing top 17 of 17 providers billing this code