#4950 of 11K

Q4051

HCPCS Procedure Code

HCPCS code Q4051 is the #4,950 most-billed Medicaid procedure code, with $342K in payments across 5,404 claims from 2018–2024. The national median cost per claim is $4.23. Costs vary widely — the 90th percentile is $685.75 per claim, 162.1× the median.

Total Paid

$342K

0.00% of all spending

Total Claims

5,404

Providers

Avg Cost/Claim

$63

National Cost Distribution

How much do providers bill per claim for Q4051? Based on 33 providers billing this code nationally.

Median

$4.23

Average

$202.40

Std Dev

$577.84

Max

$3,001.22

Percentile Distribution (Cost per Claim)

p10

$0.32

p25

$0.92

Median

$4.23

p75

$49.60

p90

$685.75

p95

$1,050.04

p99

$2,411.09

50% of providers bill between $0.92 and $49.60 per claim for this code.

90% bill between $0.32 and $685.75.

Top 1% bill above $2,411.09.

About This Procedure

HCPCS code Q4051 was billed by 62 providers across 5,404 claims, totaling $342K in Medicaid payments from 2018–2024. This code was used for 3,779 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.23

Providers Billing

National Spending

$342K

Avg/Median Ratio

47.85×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4051

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Regents Of The University Of California Sacramento, CA · General Acute Care Hospital	$195K	$3,001.22	709.5× median	Top 1%
2	1972541498	$45K	$792.57	187.4× median	Top 10%
3	1467560599	$34K	$1,157.07	273.5× median	Top 10%
4	1356389878	$26K	$978.69	231.4× median	Top 10%
5	1407028426	$8K	$16.29	3.9× median	Above Median
6	1518273085	$5K	$14.16	3.3× median	Above Median
7	1639172372	$5K	$258.45	61.1× median	Above 75th
8	1659359446	$4K	$49.08	11.6× median	Above Median
9	1811946734	$4K	$159.33	37.7× median	Above 75th
10	1235338641	$3K	$3.04	0.7× median	Below Median
11	Children's Specialized Hospital New Brunswick, NJ · Pediatrics	$3K	$22.37	5.3× median	Above Median
12	Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital	$2K	$53.54	12.7× median	Above 75th
13	1700829199	$2K	$49.77	11.8× median	Above 75th
14	1801861190	$2K	$30.68	7.3× median	Above Median
15	Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital	$1K	$49.60	11.7× median	Above 75th
16	1497794465	$488	$8.56	2.0× median	Above Median
17	1538157508	$456	$3.04	0.7× median	Below Median
18	1568688992	$183	$3.06	0.7× median	Below Median
19	1659538858	$149	$4.02	1.0× median	Below Median
20	Park Nicollet Clinic St Louis Park, MN · Obstetrics & Gynecology	$140	$8.73	2.1× median	Above Median

Showing top 20 of 62 providers billing this code

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