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

#8143 of 11K

Q4006

HCPCS Procedure Code

HCPCS code Q4006 is the #8,143 most-billed Medicaid procedure code, with $5K in payments across 606 claims from 2018–2024. The national median cost per claim is $11.17. Costs vary widely — the 90th percentile is $68.15 per claim, 6.1× the median.

Total Paid

$5K

0.00% of all spending

Total Claims

606

Providers

8

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for Q4006? Based on 6 providers billing this code nationally.

Median

$11.17

Average

$26.83

Std Dev

$43.80

Max

$114.54

Percentile Distribution (Cost per Claim)

p10
$1.19
p25
$3.10
Median
$11.17
p75
$20.52
p90
$68.15
p95
$91.35
p99
$109.90

50% of providers bill between $3.10 and $20.52 per claim for this code.

90% bill between $1.19 and $68.15.

Top 1% bill above $109.90.

About This Procedure

HCPCS code Q4006 was billed by 8 providers across 606 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 509 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.17

Providers Billing

6

National Spending

$5K

Avg/Median Ratio

2.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4006

#ProviderTotal Paid
11891912432$3K
21750333936$1K
31508264938$622
41184828451$236
5Dayton Children's Hospital

Dayton, OH · General Acute Care Hospital, Children

$94
61053500595$24
71942300918$0
81467633867$0

Showing top 8 of 8 providers billing this code