Q5121
HCPCS Procedure Code
HCPCS code Q5121 is the #1,715 most-billed Medicaid procedure code, with $15.5M in payments across 16K claims from 2018–2024. The national median cost per claim is $1,326.64.
Total Paid
$15.5M
0.00% of all spending
Total Claims
16K
Providers
37
Avg Cost/Claim
$957
National Cost Distribution
How much do providers bill per claim for Q5121? Based on 29 providers billing this code nationally.
Median
$1,326.64
Average
$1,253.57
Std Dev
$860.27
Max
$2,883.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $423.21 and $1,923.82 per claim for this code.
90% bill between $181.62 and $2,442.19.
Top 1% bill above $2,770.17.
About This Procedure
HCPCS code Q5121 was billed by 37 providers across 16K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,326.64
Providers Billing
29
National Spending
$15.5M
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q5121
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $3.6M |
| 2 | 1265462659 | $2.4M |
| 3 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.0M |
| 4 | 1568400687 | $1.4M |
| 5 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $967K |
| 6 | Mainehealth Portland, ME · Emergency Medicine | $921K |
| 7 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $861K |
| 8 | 1932208576 | $761K |
| 9 | 1366489254 | $531K |
| 10 | 1053412643 | $448K |
| 11 | 1447764857 | $314K |
| 12 | 1104230176 | $274K |
| 13 | Mount Sinai Hospital New York, NY · Ambulance | $207K |
| 14 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $158K |
| 15 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $148K |
| 16 | 1710057500 | $113K |
| 17 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $90K |
| 18 | 1992788350 | $84K |
| 19 | 1689288938 | $67K |
| 20 | 1376614966 | $60K |
Showing top 20 of 37 providers billing this code