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#5977 of 11K

Q4037

HCPCS Procedure Code

HCPCS code Q4037 is the #5,977 most-billed Medicaid procedure code, with $111K in payments across 9,975 claims from 2018–2024. The national median cost per claim is $11.59.

Total Paid

$111K

0.00% of all spending

Total Claims

9,975

Providers

16

Avg Cost/Claim

$11

National Cost Distribution

How much do providers bill per claim for Q4037? Based on 14 providers billing this code nationally.

Median

$11.59

Average

$13.54

Std Dev

$6.31

Max

$24.19

Percentile Distribution (Cost per Claim)

p10
$7.54
p25
$10.40
Median
$11.59
p75
$17.03
p90
$22.92
p95
$23.45
p99
$24.04

50% of providers bill between $10.40 and $17.03 per claim for this code.

90% bill between $7.54 and $22.92.

Top 1% bill above $24.04.

About This Procedure

HCPCS code Q4037 was billed by 16 providers across 9,975 claims, totaling $111K in Medicaid payments from 2018–2024. This code was used for 7,779 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$11.59

Providers Billing

14

National Spending

$111K

Avg/Median Ratio

1.17×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4037

#ProviderTotal Paid
11871538207$55K
21205023033$28K
31982838918$11K
41215017819$8K
51962713131$3K
61861819476$1K
71972623379$1K
81306331590$824
91336466879$795
101134100399$345
111265953095$335
121104816230$332
131578839866$271
141063723237$140
151245518190$0
161962743203$0

Showing top 16 of 16 providers billing this code