Q5126
HCPCS Procedure Code
HCPCS code Q5126 is the #4,757 most-billed Medicaid procedure code, with $418K in payments across 627 claims from 2018–2024. The national median cost per claim is $1,497.50.
Total Paid
$418K
0.00% of all spending
Total Claims
627
Providers
5
Avg Cost/Claim
$667
National Cost Distribution
How much do providers bill per claim for Q5126? Based on 5 providers billing this code nationally.
Median
$1,497.50
Average
$1,004.14
Std Dev
$708.32
Max
$1,552.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $258.86 and $1,512.62 per claim for this code.
90% bill between $222.87 and $1,536.75.
Top 1% bill above $1,551.22.
About This Procedure
HCPCS code Q5126 was billed by 5 providers across 627 claims, totaling $418K in Medicaid payments from 2018–2024. This code was used for 297 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,497.50
Providers Billing
5
National Spending
$418K
Avg/Median Ratio
0.67×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5126
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1679184535 | $203K |
| 2 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $85K |
| 3 | 1265929723 | $70K |
| 4 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $42K |
| 5 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $18K |
Showing top 5 of 5 providers billing this code