Q5127
HCPCS Procedure Code
HCPCS code Q5127 is the #2,781 most-billed Medicaid procedure code, with $3.7M in payments across 674 claims from 2018–2024. The national median cost per claim is $3,279.69. Costs vary widely — the 90th percentile is $8,872.61 per claim, 2.7× the median.
Total Paid
$3.7M
0.00% of all spending
Total Claims
674
Providers
3
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for Q5127? Based on 3 providers billing this code nationally.
Median
$3,279.69
Average
$4,644.91
Std Dev
$5,082.74
Max
$10,270.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,831.95 and $6,775.26 per claim for this code.
90% bill between $963.30 and $8,872.61.
Top 1% bill above $10,131.02.
About This Procedure
HCPCS code Q5127 was billed by 3 providers across 674 claims, totaling $3.7M in Medicaid payments from 2018–2024. This code was used for 514 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,279.69
Providers Billing
3
National Spending
$3.7M
Avg/Median Ratio
1.42×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.