Q4012
HCPCS Procedure Code
HCPCS code Q4012 is the #6,369 most-billed Medicaid procedure code, with $71K in payments across 11K claims from 2018–2024. The national median cost per claim is $7.18. Costs vary widely — the 90th percentile is $42.08 per claim, 5.9× the median.
Total Paid
$71K
0.00% of all spending
Total Claims
11K
Providers
47
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for Q4012? Based on 42 providers billing this code nationally.
Median
$7.18
Average
$12.72
Std Dev
$16.14
Max
$68.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.93 and $12.89 per claim for this code.
90% bill between $0.81 and $42.08.
Top 1% bill above $63.91.
About This Procedure
HCPCS code Q4012 was billed by 47 providers across 11K claims, totaling $71K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.18
Providers Billing
42
National Spending
$71K
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4012
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689738981 | $10K |
| 2 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $9K |
| 3 | 1942300918 | $9K |
| 4 | 1841573870 | $7K |
| 5 | 1053402040 | $7K |
| 6 | 1386786838 | $6K |
| 7 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $4K |
| 8 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $2K |
| 9 | 1508264938 | $2K |
| 10 | 1215930490 | $2K |
| 11 | 1801869250 | $1K |
| 12 | 1184609851 | $1K |
| 13 | 1013292689 | $1K |
| 14 | 1386228286 | $1K |
| 15 | 1679771703 | $926 |
| 16 | 1841421096 | $765 |
| 17 | 1164474250 | $726 |
| 18 | 1669579785 | $572 |
| 19 | 1720293251 | $570 |
| 20 | 1003835141 | $516 |
Showing top 20 of 47 providers billing this code