Q5128
HCPCS Procedure Code
HCPCS code Q5128 is the #2,219 most-billed Medicaid procedure code, with $7.7M in payments across 17K claims from 2018–2024. The national median cost per claim is $502.53.
Total Paid
$7.7M
0.00% of all spending
Total Claims
17K
Providers
37
Avg Cost/Claim
$455
National Cost Distribution
How much do providers bill per claim for Q5128? Based on 37 providers billing this code nationally.
Median
$502.53
Average
$544.90
Std Dev
$254.30
Max
$1,052.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $379.76 and $730.44 per claim for this code.
90% bill between $236.73 and $825.23.
Top 1% bill above $1,027.40.
About This Procedure
HCPCS code Q5128 was billed by 37 providers across 17K claims, totaling $7.7M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$502.53
Providers Billing
37
National Spending
$7.7M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5128
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1134164023 | $1.6M |
| 2 | 1386737617 | $1.3M |
| 3 | 1891783965 | $1.1M |
| 4 | 1083757322 | $784K |
| 5 | 1083707822 | $504K |
| 6 | 1760541569 | $430K |
| 7 | 1316329733 | $291K |
| 8 | 1306400429 | $245K |
| 9 | 1497828321 | $221K |
| 10 | 1548874936 | $180K |
| 11 | 1265575591 | $169K |
| 12 | 1205263126 | $156K |
| 13 | 1710046842 | $148K |
| 14 | 1700823051 | $134K |
| 15 | 1013050343 | $104K |
| 16 | 1215245014 | $78K |
| 17 | 1578521472 | $75K |
| 18 | 1528181674 | $39K |
| 19 | 1467613216 | $27K |
| 20 | 1790431286 | $25K |
Showing top 20 of 37 providers billing this code