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#7033 of 11K

Q4049

HCPCS Procedure Code

HCPCS code Q4049 is the #7,033 most-billed Medicaid procedure code, with $31K in payments across 12K claims from 2018–2024. The national median cost per claim is $1.29. Costs vary widely — the 90th percentile is $5.54 per claim, 4.3× the median.

Total Paid

$31K

0.00% of all spending

Total Claims

12K

Providers

44

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for Q4049? Based on 34 providers billing this code nationally.

Median

$1.29

Average

$2.57

Std Dev

$4.76

Max

$26.18

Percentile Distribution (Cost per Claim)

p10
$0.08
p25
$0.44
Median
$1.29
p75
$1.83
p90
$5.54
p95
$8.07
p99
$21.24

50% of providers bill between $0.44 and $1.83 per claim for this code.

90% bill between $0.08 and $5.54.

Top 1% bill above $21.24.

About This Procedure

HCPCS code Q4049 was billed by 44 providers across 12K claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.29

Providers Billing

34

National Spending

$31K

Avg/Median Ratio

1.99×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4049

#ProviderTotal Paid
11912133315$10K
21205105004$7K
31215219878$4K
41568688992$2K
51184828451$2K
61649694407$931
71235411547$577
81578048096$555
91689632374$541
101790030385$508
111366872244$453
121629201264$388
131235338641$218
141164707980$122
15Harcart Health Holdings Llc

Rockville, MD · Emergency Medicine

$117
161487185369$96
171437158771$83
181437193265$75
191811278716$62
201730145970$43

Showing top 20 of 44 providers billing this code