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#1715 of 11K

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)

p10
$181.62
p25
$423.21
Median
$1,326.64
p75
$1,923.82
p90
$2,442.19
p95
$2,472.04
p99
$2,770.17

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

#ProviderTotal Paid
1Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$3.6M
21265462659$2.4M
3Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$2.0M
41568400687$1.4M
5Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$967K
6Mainehealth

Portland, ME · Emergency Medicine

$921K
7Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$861K
81932208576$761K
91366489254$531K
101053412643$448K
111447764857$314K
121104230176$274K
13Mount Sinai Hospital

New York, NY · Ambulance

$207K
14Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$158K
15Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$148K
161710057500$113K
17Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$90K
181992788350$84K
191689288938$67K
201376614966$60K

Showing top 20 of 37 providers billing this code