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#8616 of 11K

Q4031

HCPCS Procedure Code

HCPCS code Q4031 is the #8,616 most-billed Medicaid procedure code, with $2K in payments across 113 claims from 2018–2024. The national median cost per claim is $16.48.

Total Paid

$2K

0.00% of all spending

Total Claims

113

Providers

3

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for Q4031? Based on 3 providers billing this code nationally.

Median

$16.48

Average

$16.65

Std Dev

$5.72

Max

$22.45

Percentile Distribution (Cost per Claim)

p10
$12.11
p25
$13.75
Median
$16.48
p75
$19.47
p90
$21.26
p95
$21.85
p99
$22.33

50% of providers bill between $13.75 and $19.47 per claim for this code.

90% bill between $12.11 and $21.26.

Top 1% bill above $22.33.

About This Procedure

HCPCS code Q4031 was billed by 3 providers across 113 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 48 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.48

Providers Billing

3

National Spending

$2K

Avg/Median Ratio

1.01×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.