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#5701 of 11K

Q4206

HCPCS Procedure Code

HCPCS code Q4206 is the #5,701 most-billed Medicaid procedure code, with $151K in payments across 433 claims from 2018–2024. The national median cost per claim is $510.24.

Total Paid

$151K

0.00% of all spending

Total Claims

433

Providers

8

Avg Cost/Claim

$349

National Cost Distribution

How much do providers bill per claim for Q4206? Based on 5 providers billing this code nationally.

Median

$510.24

Average

$554.58

Std Dev

$144.61

Max

$800.00

Percentile Distribution (Cost per Claim)

p10
$448.96
p25
$473.84
Median
$510.24
p75
$556.43
p90
$702.57
p95
$751.29
p99
$790.26

50% of providers bill between $473.84 and $556.43 per claim for this code.

90% bill between $448.96 and $702.57.

Top 1% bill above $790.26.

About This Procedure

HCPCS code Q4206 was billed by 8 providers across 433 claims, totaling $151K in Medicaid payments from 2018–2024. This code was used for 359 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$510.24

Providers Billing

5

National Spending

$151K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4206

#ProviderTotal Paid
11366525537$96K
21982605697$18K
31558818179$16K
41548558810$10K
51033497714$10K
61578969465$0
71598965543$0
81740586627$0

Showing top 8 of 8 providers billing this code