#1780 of 11K

Z9725

HCPCS Procedure Code

HCPCS code Z9725 is the #1,780 most-billed Medicaid procedure code, with $14.1M in payments across 350K claims from 2018–2024. The national median cost per claim is $42.99.

Total Paid

$14.1M

0.00% of all spending

Total Claims

350K

Providers

137

Avg Cost/Claim

$40

National Cost Distribution

How much do providers bill per claim for Z9725? Based on 137 providers billing this code nationally.

Median

$42.99

Average

$39.80

Std Dev

$5.32

Max

$43.93

Percentile Distribution (Cost per Claim)

p10

$30.00

p25

$36.01

Median

$42.99

p75

$43.03

p90

$43.03

p95

$43.03

p99

$43.03

50% of providers bill between $36.01 and $43.03 per claim for this code.

90% bill between $30.00 and $43.03.

Top 1% bill above $43.03.

About This Procedure

HCPCS code Z9725 was billed by 137 providers across 350K claims, totaling $14.1M in Medicaid payments from 2018–2024. This code was used for 344K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.99

Providers Billing

137

National Spending

$14.1M

Avg/Median Ratio

0.93×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z9725

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1104906569	$663K	$43.03	1.0× median	Above Median
2	1407813660	$663K	$43.02	1.0× median	Above Median
3	Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital	$641K	$43.01	1.0× median	Above Median
4	1114081056	$528K	$43.00	1.0× median	Above Median
5	1205845567	$521K	$42.99	1.0× median	Above Median
6	1477596583	$481K	$43.02	1.0× median	Above Median
7	1811946734	$475K	$43.01	1.0× median	Above Median
8	County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator	$463K	$43.03	1.0× median	Above Median
9	1316027709	$393K	$43.02	1.0× median	Above Median
10	Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital	$379K	$43.03	1.0× median	Above Median
11	1184654923	$363K	$43.02	1.0× median	Above Median
12	1760510937	$340K	$42.82	1.0× median	Below Median
13	1558575746	$308K	$43.03	1.0× median	Above Median
14	Port City Operating Company Llc Stockton, CA · General Acute Care Hospital	$292K	$43.00	1.0× median	Above Median
15	Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital	$277K	$43.02	1.0× median	Above Median
16	1952476525	$272K	$42.94	1.0× median	Below Median
17	1215927470	$257K	$30.00	0.7× median	Below Median
18	1922033547	$254K	$30.00	0.7× median	Below Median
19	Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital	$235K	$29.77	0.7× median	Below Median
20	1477587632	$213K	$42.98	1.0× median	Below Median

Showing top 20 of 137 providers billing this code

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