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#3714 of 11K

Q4281

HCPCS Procedure Code

HCPCS code Q4281 is the #3,714 most-billed Medicaid procedure code, with $1.3M in payments across 336 claims from 2018–2024. The national median cost per claim is $2,789.38.

Total Paid

$1.3M

0.00% of all spending

Total Claims

336

Providers

2

Avg Cost/Claim

$4K

National Cost Distribution

How much do providers bill per claim for Q4281? Based on 2 providers billing this code nationally.

Median

$2,789.38

Average

$2,789.38

Std Dev

$3,944.63

Max

$5,578.66

Percentile Distribution (Cost per Claim)

p10
$557.96
p25
$1,394.74
Median
$2,789.38
p75
$4,184.02
p90
$5,020.80
p95
$5,299.73
p99
$5,522.87

50% of providers bill between $1,394.74 and $4,184.02 per claim for this code.

90% bill between $557.96 and $5,020.80.

Top 1% bill above $5,522.87.

About This Procedure

HCPCS code Q4281 was billed by 2 providers across 336 claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 143 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,789.38

Providers Billing

2

National Spending

$1.3M

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.