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#4153 of 11K

Z6030

HCPCS Procedure Code

HCPCS code Z6030 is the #4,153 most-billed Medicaid procedure code, with $802K in payments across 481 claims from 2018–2024. The national median cost per claim is $1,712.40.

Total Paid

$802K

0.00% of all spending

Total Claims

481

Providers

2

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for Z6030? Based on 2 providers billing this code nationally.

Median

$1,712.40

Average

$1,712.40

Std Dev

$116.86

Max

$1,795.04

Percentile Distribution (Cost per Claim)

p10
$1,646.30
p25
$1,671.09
Median
$1,712.40
p75
$1,753.72
p90
$1,778.51
p95
$1,786.77
p99
$1,793.39

50% of providers bill between $1,671.09 and $1,753.72 per claim for this code.

90% bill between $1,646.30 and $1,778.51.

Top 1% bill above $1,793.39.

About This Procedure

HCPCS code Z6030 was billed by 2 providers across 481 claims, totaling $802K in Medicaid payments from 2018–2024. This code was used for 472 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,712.40

Providers Billing

2

National Spending

$802K

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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