#4611 of 11K

Q4010

HCPCS Procedure Code

HCPCS code Q4010 is the #4,611 most-billed Medicaid procedure code, with $489K in payments across 38K claims from 2018–2024. The national median cost per claim is $13.11. Costs vary widely — the 90th percentile is $35.11 per claim, 2.7× the median.

Total Paid

$489K

0.00% of all spending

Total Claims

38K

Providers

118

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for Q4010? Based on 114 providers billing this code nationally.

Median

$13.11

Average

$17.53

Std Dev

$18.51

Max

$132.28

Percentile Distribution (Cost per Claim)

p10

$4.14

p25

$9.19

Median

$13.11

p75

$18.65

p90

$35.11

p95

$45.15

p99

$106.94

50% of providers bill between $9.19 and $18.65 per claim for this code.

90% bill between $4.14 and $35.11.

Top 1% bill above $106.94.

About This Procedure

HCPCS code Q4010 was billed by 118 providers across 38K claims, totaling $489K in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.11

Providers Billing

114

National Spending

$489K

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4010

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1184828451	$197K	$13.58	1.0× median	Above Median
2	1992109904	$44K	$17.97	1.4× median	Above Median
3	1679771703	$29K	$29.73	2.3× median	Above 75th
4	1689738981	$27K	$132.28	10.1× median	Top 1%
5	1215930490	$21K	$12.27	0.9× median	Below Median
6	1942300918	$13K	$3.02	0.2× median	Below Median
7	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$11K	$12.48	1.0× median	Below Median
8	1164474250	$10K	$15.10	1.2× median	Above Median
9	1841573870	$10K	$25.51	1.9× median	Above 75th
10	1336187475	$9K	$20.07	1.5× median	Above 75th
11	Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital	$7K	$11.39	0.9× median	Below Median
12	1386786838	$7K	$13.70	1.0× median	Above Median
13	1437193265	$6K	$19.91	1.5× median	Above 75th
14	1437158771	$6K	$14.76	1.1× median	Above Median
15	1962766899	$6K	$12.45	0.9× median	Below Median
16	1417961137	$5K	$12.51	1.0× median	Below Median
17	1770579385	$5K	$45.42	3.5× median	Top 10%
18	1598714560	$4K	$7.14	0.5× median	Below Median
19	1083785398	$4K	$17.52	1.3× median	Above Median
20	1427095801	$4K	$17.70	1.3× median	Above Median

Showing top 20 of 118 providers billing this code

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