Z6404
HCPCS Procedure Code
HCPCS code Z6404 is the #5,353 most-billed Medicaid procedure code, with $222K in payments across 35K claims from 2018–2024. The national median cost per claim is $9.53. Costs vary widely — the 90th percentile is $20.55 per claim, 2.2× the median.
Total Paid
$222K
0.00% of all spending
Total Claims
35K
Providers
93
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for Z6404? Based on 25 providers billing this code nationally.
Median
$9.53
Average
$11.81
Std Dev
$5.60
Max
$26.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.63 and $13.96 per claim for this code.
90% bill between $7.60 and $20.55.
Top 1% bill above $25.69.
About This Procedure
HCPCS code Z6404 was billed by 93 providers across 35K claims, totaling $222K in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$9.53
Providers Billing
25
National Spending
$222K
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Z6404
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1730136680 | $109K |
| 2 | 1760545503 | $41K |
| 3 | 1942531983 | $16K |
| 4 | 1609913441 | $11K |
| 5 | 1306939624 | $9K |
| 6 | 1528365285 | $9K |
| 7 | 1265539712 | $5K |
| 8 | 1700023942 | $5K |
| 9 | 1205845583 | $4K |
| 10 | 1033256573 | $4K |
| 11 | 1124296413 | $2K |
| 12 | 1437221561 | $2K |
| 13 | 1265552301 | $936 |
| 14 | 1932399441 | $871 |
| 15 | 1720217698 | $636 |
| 16 | 1568800100 | $543 |
| 17 | 1508046251 | $312 |
| 18 | 1588663769 | $290 |
| 19 | 1770799280 | $251 |
| 20 | 1891139309 | $228 |
Showing top 20 of 93 providers billing this code