HCPCS Q4205

Membrane graft or membrane wrap, per square centimeter (CMS descriptor)

Drugs Drug code Work RVU per service none (2023 fee schedule; adds 0 work RVUs)

63
61st percentile among 6,405 codes billed · 2023
$124M
98th percentile among 6,405 codes billed · 2023
108K
86th percentile among 6,405 codes billed · 2023
970
96th percentile among 6,405 codes billed · 2023
5,813
96th percentile among 6,405 codes billed · 2023

Trend

Medicare payment on the code

$0$250M$500M2021: $11M paid20212023: $124M paid20232024: $676M paid2024$676M$0$250M$500M2021: $11M paid20212023: $124M paid20232024: $676M paid2024$676M$0$250M$500M2021: $11M paid20212023: $124M paid20232024: $676M paid2024$676M$0$250M$500M2021: $11M paid20212023: $124M paid20232024: $676M paid2024$676M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

02002020: 1 providers20202021: 14 providers20212022: 8 providers20222023: 63 providers20232024: 288 providers202428802002020: 1 providers20202021: 14 providers20212022: 8 providers20222023: 63 providers20232024: 288 providers202428802002020: 1 providers20202021: 14 providers20212022: 8 providers20222023: 63 providers20232024: 288 providers202428802002020: 1 providers20202021: 14 providers20212022: 8 providers20222023: 63 providers20232024: 288 providers2024288

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024288$676,084,642+446%652,1999908,6260.00
202363$123,911,861no comparison: 2022 has fewer than 11 billers107,8729705,8130.00
20228fewer than 11 billers: figures not shown0.00
202114$10,765,122no comparison: 2020 has fewer than 11 billers38,8959859,9180.00
20201fewer than 11 billers: figures not shown0.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Florida12$19,582,49217,0304085,095
Mississippi12$10,242,6149,0477481,139

Not listed: 12 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2023.

Top metro areas

No metro area has a reportable line for Q4205 in 2023.

Specialties billing Q4205 nationally

Nurse Practitioner accounts for 38% of payment for Q4205 nationally in 2023, across 1 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner2337%$47,365,46838%41,4211,801

Not listed: 9 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2023.

Top billers of Q4205 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations