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#1046 of 11K

Z9557

HCPCS Procedure Code

HCPCS code Z9557 is the #1,046 most-billed Medicaid procedure code, with $46.1M in payments across 77K claims from 2018–2024. The national median cost per claim is $627.80.

Total Paid

$46.1M

0.00% of all spending

Total Claims

77K

Providers

20

Avg Cost/Claim

$597

National Cost Distribution

How much do providers bill per claim for Z9557? Based on 20 providers billing this code nationally.

Median

$627.80

Average

$692.61

Std Dev

$382.62

Max

$2,012.97

Percentile Distribution (Cost per Claim)

p10
$364.22
p25
$519.68
Median
$627.80
p75
$739.61
p90
$1,020.11
p95
$1,235.19
p99
$1,857.42

50% of providers bill between $519.68 and $739.61 per claim for this code.

90% bill between $364.22 and $1,020.11.

Top 1% bill above $1,857.42.

About This Procedure

HCPCS code Z9557 was billed by 20 providers across 77K claims, totaling $46.1M in Medicaid payments from 2018–2024. This code was used for 55K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$627.80

Providers Billing

20

National Spending

$46.1M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z9557

#ProviderTotal Paid
11922281294$21.0M
21366623316$6.5M
31154470300$4.9M
41386046571$2.8M
51619158094$2.0M
61649453218$1.5M
71477734853$1.2M
81023167541$862K
91558541631$816K
101841472404$785K
111528243292$715K
121326229014$713K
13County Of Santa Cruz

Santa Cruz, CA · Clinic/Center

$590K
141801077565$432K
151891912770$393K
161114108982$297K
171952582280$199K
181417139825$187K
191871676213$160K
20County Of Orange

Santa Ana, CA · Clinic/Center Mental Health (Including Community Mental Health Center)

$26K

Showing top 20 of 20 providers billing this code