Q4253
HCPCS Procedure Code
HCPCS code Q4253 is the #3,126 most-billed Medicaid procedure code, with $2.4M in payments across 1K claims from 2018–2024. The national median cost per claim is $2,459.91. Costs vary widely — the 90th percentile is $16,596.56 per claim, 6.7× the median.
Total Paid
$2.4M
0.00% of all spending
Total Claims
1K
Providers
6
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for Q4253? Based on 3 providers billing this code nationally.
Median
$2,459.91
Average
$7,949.42
Std Dev
$10,566.43
Max
$20,130.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,858.77 and $11,295.32 per claim for this code.
90% bill between $1,498.09 and $16,596.56.
Top 1% bill above $19,777.31.
About This Procedure
HCPCS code Q4253 was billed by 6 providers across 1K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 529 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,459.91
Providers Billing
3
National Spending
$2.4M
Avg/Median Ratio
3.23×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q4253
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588132062 | $1.4M |
| 2 | 1609467075 | $654K |
| 3 | 1649758376 | $395K |
| 4 | 1073909594 | $0 |
| 5 | 1972150084 | $0 |
| 6 | 1982274981 | $0 |
Showing top 6 of 6 providers billing this code