Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6866 of 11K

Q4100

HCPCS Procedure Code

HCPCS code Q4100 is the #6,866 most-billed Medicaid procedure code, with $39K in payments across 2,266 claims from 2018–2024. The national median cost per claim is $16.43. Costs vary widely — the 90th percentile is $912.92 per claim, 55.6× the median.

Total Paid

$39K

0.00% of all spending

Total Claims

2,266

Providers

8

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for Q4100? Based on 5 providers billing this code nationally.

Median

$16.43

Average

$311.66

Std Dev

$667.49

Max

$1,505.60

Percentile Distribution (Cost per Claim)

p10
$4.96
p25
$12.27
Median
$16.43
p75
$23.90
p90
$912.92
p95
$1,209.26
p99
$1,446.33

50% of providers bill between $12.27 and $23.90 per claim for this code.

90% bill between $4.96 and $912.92.

Top 1% bill above $1,446.33.

About This Procedure

HCPCS code Q4100 was billed by 8 providers across 2,266 claims, totaling $39K in Medicaid payments from 2018–2024. This code was used for 1,826 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.43

Providers Billing

5

National Spending

$39K

Avg/Median Ratio

18.97×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4100

#ProviderTotal Paid
11679879589$18K
21912951963$15K
31598708513$5K
41891732889$920
51710909585$7
61366496937$0
71033163092$0
81861439952$0

Showing top 8 of 8 providers billing this code