Q4081
Injection, epoetin alfa, 100 units (non-ESRD)
Injection, epoetin alfa, 100 units (non-ESRD) is the #277 most-billed Medicaid procedure code, with $508.0M in payments across 23.6M claims from 2018–2024. The national median cost per claim is $4.98. Costs vary widely — the 90th percentile is $90.55 per claim, 18.2× the median.
Total Paid
$508.0M
0.05% of all spending
Total Claims
23.6M
Providers
2,019
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for Q4081? Based on 1,736 providers billing this code nationally.
Median
$4.98
Average
$34.72
Std Dev
$192.19
Max
$7,066.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.56 and $17.30 per claim for this code.
90% bill between $0.29 and $90.55.
Top 1% bill above $423.83.
About This Procedure
HCPCS code Q4081 (Injection, epoetin alfa, 100 units (non-ESRD)) was billed by 2,019 providers across 23.6M claims, totaling $508.0M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.98
Providers Billing
1,736
National Spending
$508.0M
Avg/Median Ratio
6.97×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4081
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003883125 | $10.2M |
| 2 | 1841268596 | $6.8M |
| 3 | 1942278270 | $6.5M |
| 4 | 1154399491 | $6.3M |
| 5 | 1285690248 | $5.9M |
| 6 | 1255308722 | $5.5M |
| 7 | 1538137799 | $5.4M |
| 8 | 1245208057 | $5.3M |
| 9 | 1861749194 | $5.2M |
| 10 | 1942567839 | $5.1M |
| 11 | 1154799948 | $4.9M |
| 12 | 1639147259 | $4.9M |
| 13 | 1538487897 | $4.9M |
| 14 | 1275771891 | $4.8M |
| 15 | 1356319859 | $4.7M |
| 16 | 1316915077 | $4.7M |
| 17 | 1043277015 | $4.5M |
| 18 | 1528036050 | $4.4M |
| 19 | 1821065947 | $4.4M |
| 20 | 1417925025 | $4.4M |
Showing top 20 of 2,019 providers billing this code