Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5836 of 11K

Z7504

HCPCS Procedure Code

HCPCS code Z7504 is the #5,836 most-billed Medicaid procedure code, with $131K in payments across 3K claims from 2018–2024. The national median cost per claim is $49.28.

Total Paid

$131K

0.00% of all spending

Total Claims

3K

Providers

8

Avg Cost/Claim

$48

National Cost Distribution

How much do providers bill per claim for Z7504? Based on 7 providers billing this code nationally.

Median

$49.28

Average

$48.73

Std Dev

$1.07

Max

$49.60

Percentile Distribution (Cost per Claim)

p10
$47.44
p25
$48.22
Median
$49.28
p75
$49.51
p90
$49.60
p95
$49.60
p99
$49.60

50% of providers bill between $48.22 and $49.51 per claim for this code.

90% bill between $47.44 and $49.60.

Top 1% bill above $49.60.

About This Procedure

HCPCS code Z7504 was billed by 8 providers across 3K claims, totaling $131K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.28

Providers Billing

7

National Spending

$131K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z7504

#ProviderTotal Paid
1Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$98K
21700949336$21K
3Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$4K
4Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$3K
51477596583$2K
61952476525$2K
71457520942$1K
8Contra Costa County

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

$0

Showing top 8 of 8 providers billing this code