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#2985 of 11K

Q5122

HCPCS Procedure Code

HCPCS code Q5122 is the #2,985 most-billed Medicaid procedure code, with $2.8M in payments across 1,420 claims from 2018–2024. The national median cost per claim is $1,726.55.

Total Paid

$2.8M

0.00% of all spending

Total Claims

1,420

Providers

11

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for Q5122? Based on 10 providers billing this code nationally.

Median

$1,726.55

Average

$1,707.50

Std Dev

$887.60

Max

$3,299.21

Percentile Distribution (Cost per Claim)

p10
$600.95
p25
$1,209.74
Median
$1,726.55
p75
$2,065.84
p90
$2,669.20
p95
$2,984.20
p99
$3,236.20

50% of providers bill between $1,209.74 and $2,065.84 per claim for this code.

90% bill between $600.95 and $2,669.20.

Top 1% bill above $3,236.20.

About This Procedure

HCPCS code Q5122 was billed by 11 providers across 1,420 claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 1,063 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,726.55

Providers Billing

10

National Spending

$2.8M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5122

#ProviderTotal Paid
11528018389$1.9M
21427069368$332K
31639109457$247K
41295023547$230K
5Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$46K
6Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$36K
71679660617$36K
8Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$15K
91528399193$10K
101083661607$5K
111235215427$0

Showing top 11 of 11 providers billing this code