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#4816 of 11K

Q4050

HCPCS Procedure Code

HCPCS code Q4050 is the #4,816 most-billed Medicaid procedure code, with $387K in payments across 18K claims from 2018–2024. The national median cost per claim is $19.11. Costs vary widely — the 90th percentile is $41.10 per claim, 2.2× the median.

Total Paid

$387K

0.00% of all spending

Total Claims

18K

Providers

27

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for Q4050? Based on 25 providers billing this code nationally.

Median

$19.11

Average

$20.52

Std Dev

$18.91

Max

$68.88

Percentile Distribution (Cost per Claim)

p10
$0.56
p25
$4.08
Median
$19.11
p75
$34.00
p90
$41.10
p95
$55.79
p99
$66.49

50% of providers bill between $4.08 and $34.00 per claim for this code.

90% bill between $0.56 and $41.10.

Top 1% bill above $66.49.

About This Procedure

HCPCS code Q4050 was billed by 27 providers across 18K claims, totaling $387K in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.11

Providers Billing

25

National Spending

$387K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4050

#ProviderTotal Paid
11184609851$166K
21629080577$77K
3Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$58K
41437627031$25K
51871655381$18K
61174582282$9K
71730118803$6K
81346251758$6K
91275579765$5K
101578695417$3K
111518913318$3K
121265505077$3K
131518230663$2K
141689632374$2K
151154373132$2K
161639366412$2K
171013967736$580
181427016385$336
191962516674$326
201659309615$102

Showing top 20 of 27 providers billing this code