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#3278 of 11K

Q4133

HCPCS Procedure Code

HCPCS code Q4133 is the #3,278 most-billed Medicaid procedure code, with $2.0M in payments across 1,709 claims from 2018–2024. The national median cost per claim is $642.33. Costs vary widely — the 90th percentile is $3,292.95 per claim, 5.1× the median.

Total Paid

$2.0M

0.00% of all spending

Total Claims

1,709

Providers

11

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for Q4133? Based on 8 providers billing this code nationally.

Median

$642.33

Average

$1,221.16

Std Dev

$1,398.36

Max

$3,787.51

Percentile Distribution (Cost per Claim)

p10
$234.93
p25
$486.49
Median
$642.33
p75
$1,327.49
p90
$3,292.95
p95
$3,540.23
p99
$3,738.06

50% of providers bill between $486.49 and $1,327.49 per claim for this code.

90% bill between $234.93 and $3,292.95.

Top 1% bill above $3,738.06.

About This Procedure

HCPCS code Q4133 was billed by 11 providers across 1,709 claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 701 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$642.33

Providers Billing

8

National Spending

$2.0M

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4133

#ProviderTotal Paid
11508877473$1.5M
21710109186$245K
31013013002$106K
41215927470$95K
51225082209$18K
61508911892$17K
71144991340$15K
81538112230$366
9Kadlec Regional Medical Center

Richland, WA · General Acute Care Hospital

$0
101417591744$0
111942749387$0

Showing top 11 of 11 providers billing this code

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