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#2219 of 11K

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)

p10
$236.73
p25
$379.76
Median
$502.53
p75
$730.44
p90
$825.23
p95
$955.57
p99
$1,027.40

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

#ProviderTotal Paid
11134164023$1.6M
21386737617$1.3M
31891783965$1.1M
41083757322$784K
51083707822$504K
61760541569$430K
71316329733$291K
81306400429$245K
91497828321$221K
101548874936$180K
111265575591$169K
121205263126$156K
131710046842$148K
141700823051$134K
151013050343$104K
161215245014$78K
171578521472$75K
181528181674$39K
191467613216$27K
201790431286$25K

Showing top 20 of 37 providers billing this code