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#1210 of 11K

Z9560

HCPCS Procedure Code

HCPCS code Z9560 is the #1,210 most-billed Medicaid procedure code, with $33.3M in payments across 70K claims from 2018–2024. The national median cost per claim is $559.78.

Total Paid

$33.3M

0.00% of all spending

Total Claims

70K

Providers

22

Avg Cost/Claim

$473

National Cost Distribution

How much do providers bill per claim for Z9560? Based on 22 providers billing this code nationally.

Median

$559.78

Average

$646.31

Std Dev

$495.08

Max

$2,211.79

Percentile Distribution (Cost per Claim)

p10
$218.59
p25
$354.15
Median
$559.78
p75
$718.76
p90
$1,088.97
p95
$1,674.20
p99
$2,105.10

50% of providers bill between $354.15 and $718.76 per claim for this code.

90% bill between $218.59 and $1,088.97.

Top 1% bill above $2,105.10.

About This Procedure

HCPCS code Z9560 was billed by 22 providers across 70K claims, totaling $33.3M in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$559.78

Providers Billing

22

National Spending

$33.3M

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z9560

#ProviderTotal Paid
11023167541$12.4M
21114108982$5.9M
31366623316$4.3M
4County Of Orange

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

$2.7M
51679920235$2.6M
61386046571$1.0M
71477734853$905K
81396816021$778K
91154470300$696K
101265573349$259K
111841472404$251K
121891912770$249K
131417139825$243K
141922281294$229K
151649453218$160K
161619158094$157K
171558541631$142K
181326229014$116K
191588709182$94K
201801077565$73K

Showing top 20 of 22 providers billing this code