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#3279 of 11K

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)

p10
$360.41
p25
$671.96
Median
$1,518.93
p75
$2,088.30
p90
$2,236.26
p95
$2,285.58
p99
$2,325.04

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

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$1.2M
2University Of California Irvine

Orange, CA · General Acute Care Hospital

$531K
3Southern California Permanente Medical Group

Los Angeles, CA · Health Maintenance Organization

$208K
4The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$96K
5Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$10K

Showing top 5 of 5 providers billing this code