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#5769 of 11K

Q5113

HCPCS Procedure Code

HCPCS code Q5113 is the #5,769 most-billed Medicaid procedure code, with $142K in payments across 366 claims from 2018–2024. The national median cost per claim is $1,225.65.

Total Paid

$142K

0.00% of all spending

Total Claims

366

Providers

2

Avg Cost/Claim

$387

National Cost Distribution

How much do providers bill per claim for Q5113? Based on 2 providers billing this code nationally.

Median

$1,225.65

Average

$1,225.65

Std Dev

$1,485.83

Max

$2,276.29

Percentile Distribution (Cost per Claim)

p10
$385.14
p25
$700.33
Median
$1,225.65
p75
$1,750.97
p90
$2,066.16
p95
$2,171.22
p99
$2,255.28

50% of providers bill between $700.33 and $1,750.97 per claim for this code.

90% bill between $385.14 and $2,066.16.

Top 1% bill above $2,255.28.

About This Procedure

HCPCS code Q5113 was billed by 2 providers across 366 claims, totaling $142K in Medicaid payments from 2018–2024. This code was used for 270 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,225.65

Providers Billing

2

National Spending

$142K

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.