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#4757 of 11K

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)

p10
$222.87
p25
$258.86
Median
$1,497.50
p75
$1,512.62
p90
$1,536.75
p95
$1,544.79
p99
$1,551.22

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

#ProviderTotal Paid
11679184535$203K
2County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$85K
31265929723$70K
4Henry Ford Health St. John Hospital

Chicago, IL · Clinic/Center, Ambulatory Surgical

$42K
5Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$18K

Showing top 5 of 5 providers billing this code