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#2780 of 11K

Q4191

HCPCS Procedure Code

HCPCS code Q4191 is the #2,780 most-billed Medicaid procedure code, with $3.7M in payments across 956 claims from 2018–2024. The national median cost per claim is $2,767.89.

Total Paid

$3.7M

0.00% of all spending

Total Claims

956

Providers

3

Avg Cost/Claim

$4K

National Cost Distribution

How much do providers bill per claim for Q4191? Based on 2 providers billing this code nationally.

Median

$2,767.89

Average

$2,767.89

Std Dev

$3,662.41

Max

$5,357.61

Percentile Distribution (Cost per Claim)

p10
$696.12
p25
$1,473.03
Median
$2,767.89
p75
$4,062.75
p90
$4,839.67
p95
$5,098.64
p99
$5,305.81

50% of providers bill between $1,473.03 and $4,062.75 per claim for this code.

90% bill between $696.12 and $4,839.67.

Top 1% bill above $5,305.81.

About This Procedure

HCPCS code Q4191 was billed by 3 providers across 956 claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 372 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,767.89

Providers Billing

2

National Spending

$3.7M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.