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#4242 of 11K

Q5124

HCPCS Procedure Code

HCPCS code Q5124 is the #4,242 most-billed Medicaid procedure code, with $719K in payments across 3,490 claims from 2018–2024. The national median cost per claim is $183.04.

Total Paid

$719K

0.00% of all spending

Total Claims

3,490

Providers

6

Avg Cost/Claim

$206

National Cost Distribution

How much do providers bill per claim for Q5124? Based on 6 providers billing this code nationally.

Median

$183.04

Average

$216.07

Std Dev

$141.18

Max

$490.40

Percentile Distribution (Cost per Claim)

p10
$116.02
p25
$151.00
Median
$183.04
p75
$205.37
p90
$349.16
p95
$419.78
p99
$476.28

50% of providers bill between $151.00 and $205.37 per claim for this code.

90% bill between $116.02 and $349.16.

Top 1% bill above $476.28.

About This Procedure

HCPCS code Q5124 was billed by 6 providers across 3,490 claims, totaling $719K in Medicaid payments from 2018–2024. This code was used for 2,717 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$183.04

Providers Billing

6

National Spending

$719K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5124

#ProviderTotal Paid
11467429647$655K
21699947796$43K
31730591041$7K
41497828321$6K
51174557805$6K
61780879510$2K

Showing top 6 of 6 providers billing this code