Q5123
HCPCS Procedure Code
HCPCS code Q5123 is the #3,279 most-billed Medicaid procedure code, with $2.0M in payments across 1,783 claims from 2018–2024. The national median cost per claim is $1,518.93.
Total Paid
$2.0M
0.00% of all spending
Total Claims
1,783
Providers
5
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for Q5123? Based on 5 providers billing this code nationally.
Median
$1,518.93
Average
$1,353.36
Std Dev
$926.94
Max
$2,334.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $671.96 and $2,088.30 per claim for this code.
90% bill between $360.41 and $2,236.26.
Top 1% bill above $2,325.04.
About This Procedure
HCPCS code Q5123 was billed by 5 providers across 1,783 claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 771 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,518.93
Providers Billing
5
National Spending
$2.0M
Avg/Median Ratio
0.89×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5123
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.2M |
| 2 | University Of California Irvine Orange, CA · General Acute Care Hospital | $531K |
| 3 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $208K |
| 4 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $96K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $10K |
Showing top 5 of 5 providers billing this code