Q4196
HCPCS Procedure Code
HCPCS code Q4196 is the #4,974 most-billed Medicaid procedure code, with $333K in payments across 2K claims from 2018–2024. The national median cost per claim is $102.02. Costs vary widely — the 90th percentile is $527.32 per claim, 5.2× the median.
Total Paid
$333K
0.00% of all spending
Total Claims
2K
Providers
8
Avg Cost/Claim
$137
National Cost Distribution
How much do providers bill per claim for Q4196? Based on 4 providers billing this code nationally.
Median
$102.02
Average
$228.33
Std Dev
$323.90
Max
$708.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $75.30 and $255.05 per claim for this code.
90% bill between $30.38 and $527.32.
Top 1% bill above $690.68.
About This Procedure
HCPCS code Q4196 was billed by 8 providers across 2K claims, totaling $333K in Medicaid payments from 2018–2024. This code was used for 704 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$102.02
Providers Billing
4
National Spending
$333K
Avg/Median Ratio
2.24×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4196
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1437505393 | $209K |
| 2 | 1992071476 | $74K |
| 3 | 1669687513 | $50K |
| 4 | 1578865861 | $106 |
| 5 | Bridgeport Hospital Bridgeport, CT · General Acute Care Hospital | $0 |
| 6 | 1134220031 | $0 |
| 7 | 1811258510 | $0 |
| 8 | 1891376810 | $0 |
Showing top 8 of 8 providers billing this code