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#4961 of 11K

Q4195

HCPCS Procedure Code

HCPCS code Q4195 is the #4,961 most-billed Medicaid procedure code, with $338K in payments across 1K claims from 2018–2024. The national median cost per claim is $928.15. Costs vary widely — the 90th percentile is $2,069.19 per claim, 2.2× the median.

Total Paid

$338K

0.00% of all spending

Total Claims

1K

Providers

4

Avg Cost/Claim

$317

National Cost Distribution

How much do providers bill per claim for Q4195? Based on 4 providers billing this code nationally.

Median

$928.15

Average

$1,064.29

Std Dev

$1,044.47

Max

$2,266.95

Percentile Distribution (Cost per Claim)

p10
$168.31
p25
$219.88
Median
$928.15
p75
$1,772.56
p90
$2,069.19
p95
$2,168.07
p99
$2,247.17

50% of providers bill between $219.88 and $1,772.56 per claim for this code.

90% bill between $168.31 and $2,069.19.

Top 1% bill above $2,247.17.

About This Procedure

HCPCS code Q4195 was billed by 4 providers across 1K claims, totaling $338K in Medicaid payments from 2018–2024. This code was used for 359 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$928.15

Providers Billing

4

National Spending

$338K

Avg/Median Ratio

1.15×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.