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#8282 of 11K

Z6402

HCPCS Procedure Code

HCPCS code Z6402 is the #8,282 most-billed Medicaid procedure code, with $4K in payments across 64K claims from 2018–2024. The national median cost per claim is $15.21.

Total Paid

$4K

0.00% of all spending

Total Claims

64K

Providers

207

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for Z6402? Based on 8 providers billing this code nationally.

Median

$15.21

Average

$16.34

Std Dev

$3.16

Max

$24.14

Percentile Distribution (Cost per Claim)

p10
$15.08
p25
$15.15
Median
$15.21
p75
$15.45
p90
$18.07
p95
$21.10
p99
$23.53

50% of providers bill between $15.15 and $15.45 per claim for this code.

90% bill between $15.08 and $18.07.

Top 1% bill above $23.53.

About This Procedure

HCPCS code Z6402 was billed by 207 providers across 64K claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 64K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.21

Providers Billing

8

National Spending

$4K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6402

#ProviderTotal Paid
11194840421$2K
21235189978$820
31356498935$522
41639129372$479
51750503017$227
61669776175$212
71770799280$197
81366592982$183
91588804819$0
101093181448$0
111629269618$0
121093717779$0
13Family Health Centers Of San Diego, Inc

San Diego, CA · Clinic/Center, Federally Qualified Health Center (FQHC)

$0
141306877121$0
151710191283$0
161518298306$0
171851373401$0
181174984041$0
191295822658$0
201992863096$0

Showing top 20 of 207 providers billing this code