Q4040
HCPCS Procedure Code
HCPCS code Q4040 is the #5,251 most-billed Medicaid procedure code, with $250K in payments across 7,788 claims from 2018–2024. The national median cost per claim is $16.38. Costs vary widely — the 90th percentile is $57.84 per claim, 3.5× the median.
Total Paid
$250K
0.00% of all spending
Total Claims
7,788
Providers
12
Avg Cost/Claim
$32
National Cost Distribution
How much do providers bill per claim for Q4040? Based on 11 providers billing this code nationally.
Median
$16.38
Average
$26.76
Std Dev
$22.08
Max
$65.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $11.09 and $43.18 per claim for this code.
90% bill between $7.32 and $57.84.
Top 1% bill above $64.44.
About This Procedure
HCPCS code Q4040 was billed by 12 providers across 7,788 claims, totaling $250K in Medicaid payments from 2018–2024. This code was used for 4,944 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.38
Providers Billing
11
National Spending
$250K
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4040
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Specialized Hospital New Brunswick, NJ · Pediatrics | $171K |
| 2 | 1801869250 | $30K |
| 3 | 1467690602 | $15K |
| 4 | Ou Health Partners, Inc Oklahoma City, OK · Clinic/Center, Multi-Specialty | $12K |
| 5 | 1508264938 | $9K |
| 6 | 1942300918 | $5K |
| 7 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $2K |
| 8 | 1679771703 | $2K |
| 9 | 1053402040 | $2K |
| 10 | 1386786838 | $901 |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $736 |
| 12 | Ut Physicians Houston, TX · Emergency Medicine | $0 |
Showing top 12 of 12 providers billing this code