Q5002
HCPCS Procedure Code
HCPCS code Q5002 is the #3,731 most-billed Medicaid procedure code, with $1.3M in payments across 120K claims from 2018–2024. The national median cost per claim is $23.39. Costs vary widely — the 90th percentile is $200.41 per claim, 8.6× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
120K
Providers
238
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for Q5002? Based on 43 providers billing this code nationally.
Median
$23.39
Average
$56.71
Std Dev
$81.77
Max
$295.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.60 and $81.70 per claim for this code.
90% bill between $0.19 and $200.41.
Top 1% bill above $280.63.
About This Procedure
HCPCS code Q5002 was billed by 238 providers across 120K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 65K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.39
Providers Billing
43
National Spending
$1.3M
Avg/Median Ratio
2.42×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5002
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487999405 | $450K |
| 2 | 1568962033 | $178K |
| 3 | 1942753637 | $114K |
| 4 | 1386786150 | $110K |
| 5 | 1114919099 | $74K |
| 6 | 1063780351 | $68K |
| 7 | 1174051668 | $49K |
| 8 | 1174904049 | $43K |
| 9 | 1205849965 | $28K |
| 10 | 1104936400 | $21K |
| 11 | 1699778720 | $20K |
| 12 | 1073594065 | $15K |
| 13 | 1821607490 | $15K |
| 14 | 1114590635 | $12K |
| 15 | 1578874053 | $11K |
| 16 | 1417253873 | $9K |
| 17 | 1750678801 | $6K |
| 18 | 1760475255 | $5K |
| 19 | 1356916845 | $5K |
| 20 | 1629668421 | $5K |
Showing top 20 of 238 providers billing this code