Q4038
HCPCS Procedure Code
HCPCS code Q4038 is the #4,574 most-billed Medicaid procedure code, with $508K in payments across 17K claims from 2018–2024. The national median cost per claim is $27.24. Costs vary widely — the 90th percentile is $59.80 per claim, 2.2× the median.
Total Paid
$508K
0.00% of all spending
Total Claims
17K
Providers
73
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for Q4038? Based on 68 providers billing this code nationally.
Median
$27.24
Average
$32.69
Std Dev
$32.12
Max
$238.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.50 and $38.53 per claim for this code.
90% bill between $7.74 and $59.80.
Top 1% bill above $142.86.
About This Procedure
HCPCS code Q4038 was billed by 73 providers across 17K claims, totaling $508K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.24
Providers Billing
68
National Spending
$508K
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4038
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679771703 | $82K |
| 2 | 1679603724 | $66K |
| 3 | 1265593594 | $60K |
| 4 | 1851347348 | $49K |
| 5 | 1467690602 | $42K |
| 6 | 1215930490 | $39K |
| 7 | 1497253371 | $18K |
| 8 | 1679764229 | $14K |
| 9 | 1508264938 | $12K |
| 10 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $12K |
| 11 | 1255927646 | $11K |
| 12 | 1942300918 | $8K |
| 13 | 1609129626 | $6K |
| 14 | 1902886492 | $6K |
| 15 | 1508838566 | $6K |
| 16 | 1053402040 | $5K |
| 17 | 1619412376 | $5K |
| 18 | 1568644052 | $5K |
| 19 | 1902238694 | $5K |
| 20 | 1437193265 | $4K |
Showing top 20 of 73 providers billing this code