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#6086 of 11K

Z6414

HCPCS Procedure Code

HCPCS code Z6414 is the #6,086 most-billed Medicaid procedure code, with $97K in payments across 64K claims from 2018–2024. The national median cost per claim is $12.50.

Total Paid

$97K

0.00% of all spending

Total Claims

64K

Providers

214

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for Z6414? Based on 52 providers billing this code nationally.

Median

$12.50

Average

$12.14

Std Dev

$4.45

Max

$30.78

Percentile Distribution (Cost per Claim)

p10
$7.57
p25
$7.88
Median
$12.50
p75
$14.75
p90
$15.36
p95
$18.01
p99
$26.67

50% of providers bill between $7.88 and $14.75 per claim for this code.

90% bill between $7.57 and $15.36.

Top 1% bill above $26.67.

About This Procedure

HCPCS code Z6414 was billed by 214 providers across 64K claims, totaling $97K in Medicaid payments from 2018–2024. This code was used for 53K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.50

Providers Billing

52

National Spending

$97K

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z6414

#ProviderTotal Paid
11730136680$21K
21760545503$20K
31669776175$9K
41265668784$8K
51609913441$6K
61790701514$4K
71114301298$3K
81912176264$2K
91164061461$2K
101487095337$2K
111073578134$2K
121316455363$1K
131669548483$1K
141356498935$1K
151477069375$1K
161255849238$867
171871826925$765
181356414262$751
191942416045$700
201235351388$679

Showing top 20 of 214 providers billing this code