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#2781 of 11K

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)

p10
$963.30
p25
$1,831.95
Median
$3,279.69
p75
$6,775.26
p90
$8,872.61
p95
$9,571.72
p99
$10,131.02

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.