#2279 of 11K

Q5006

HCPCS Procedure Code

HCPCS code Q5006 is the #2,279 most-billed Medicaid procedure code, with $7.1M in payments across 21K claims from 2018–2024. The national median cost per claim is $544.82. Costs vary widely — the 90th percentile is $2,040.08 per claim, 3.7× the median.

Total Paid

$7.1M

0.00% of all spending

Total Claims

21K

Providers

Avg Cost/Claim

$341

National Cost Distribution

How much do providers bill per claim for Q5006? Based on 24 providers billing this code nationally.

Median

$544.82

Average

$889.84

Std Dev

$1,292.63

Max

$6,074.87

Percentile Distribution (Cost per Claim)

p10

$26.97

p25

$188.37

Median

$544.82

p75

$914.49

p90

$2,040.08

p95

$2,545.43

p99

$5,278.68

50% of providers bill between $188.37 and $914.49 per claim for this code.

90% bill between $26.97 and $2,040.08.

Top 1% bill above $5,278.68.

About This Procedure

HCPCS code Q5006 was billed by 44 providers across 21K claims, totaling $7.1M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$544.82

Providers Billing

National Spending

$7.1M

Avg/Median Ratio

1.63×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5006

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1861538209	$1.3M	$640.01	1.2× median	Above Median
2	1609922707	$1.3M	$901.22	1.7× median	Above Median
3	1033328232	$1.2M	$583.74	1.1× median	Above Median
4	1699742783	$841K	$2,161.53	4.0× median	Top 10%
5	1003831835	$698K	$1,042.16	1.9× median	Above 75th
6	1689695322	$631K	$505.89	0.9× median	Below Median
7	1124028204	$550K	$723.24	1.3× median	Above Median
8	1790755932	$112K	$2,613.17	4.8× median	Top 10%
9	1235189440	$85K	$6,074.87	11.2× median	Top 1%
10	1457321093	$82K	$385.80	0.7× median	Below Median
11	1568485894	$77K	$635.51	1.2× median	Above Median
12	1104879105	$72K	$406.72	0.7× median	Below Median
13	1982651600	$61K	$1,756.68	3.2× median	Above 75th
14	1477875128	$53K	$954.31	1.8× median	Above 75th
15	1851494124	$35K	$300.36	0.6× median	Below Median
16	1184682858	$34K	$386.64	0.7× median	Below Median
17	1174671044	$32K	$175.67	0.3× median	Below Median
18	1689657470	$15K	$16.54	0.0× median	Below Median
19	1346220142	$14K	$754.08	1.4× median	Above Median
20	1790784312	$5K	$192.61	0.4× median	Below Median

Showing top 20 of 44 providers billing this code

Related Procedures

Q5003Injection, infliximab-dyyb, biosimilar, 10 mg$589.1M Q5001Injection, filgrastim-sndz, biosimilar, 1 mcg$242.5M Q5004$44.0M Q5009Hospice/home health aide, per 15 min$37.0M Q5005$5.8M

← All procedures Top providers →