How much does Medicare pay for HCPCS Q4022?

Medicare allowed an average of $14.44 per service and paid $11.10 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $42.57, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4022?

Cast supplies, short arm splint, adult (11 years +), fiberglass. It was billed 5,366 times to 4,528 Medicare beneficiaries by 269 providers in 2024.

Which specialty bills Q4022 most?

Hand Surgery, with 2,082 services from 98 clinicians. Next are Orthopedic Surgery, Physician Assistant, Nurse Practitioner.

HCPCS Q4022

Cast supplies, short arm splint, adult (11 years +), fiberglass

$14.44Medicare-allowed amount per service, averaged across 5,366 services

Providers submitted

$42.57

Asking price, not received

Medicare allowed

$14.44

The fee schedule figure

Medicare paid

$11.10

Balance is patient coinsurance

Providers submitted an average of $42.57 for this code and Medicare allowed $14.44 — 2.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $11.10 (77%); the rest is the patient’s coinsurance and deductible.

Services: 5,366
Beneficiaries: 4,528
Providers billing it: 269
Total allowed: $77,485

What Medicare pays for HCPCS Q4022

Across 5,366 services billed by 269 providers to 4,528 beneficiaries, Medicare allowed an average of $14.44 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills Q4022

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	2,082	1,725	$14.44	98
Orthopedic Surgery	1,388	1,158	$14.53	69
Physician Assistant	1,344	1,159	$14.33	71
Nurse Practitioner	158	145	$14.52	10
Plastic and Reconstructive Surgery	146	123	$14.60	7
General Surgery	94	76	$14.18	5
Family Practice	49	48	$14.61	3
Sports Medicine	47	37	$14.61	2
Emergency Medicine	31	31	$14.61	2
Internal Medicine	15	14	$14.62	1
Occupational Therapist in Private Practice	12	12	$14.60	1

Q4022 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	853	$14.52	$11.47	35
Florida	608	$14.55	$11.31	25
Texas	408	$14.51	$11.26	22
Pennsylvania	221	$14.45	$11.14	12
North Carolina	204	$14.61	$11.03	11
Maryland	201	$14.32	$11.46	8
Tennessee	201	$14.56	$11.04	12
Virginia	200	$14.61	$11.08	11
Michigan	172	$14.00	$11.45	7
Illinois	170	$14.61	$11.31	11
Georgia	167	$14.61	$11.41	8
Arkansas	166	$14.61	$10.94	5
Nevada	165	$14.21	$11.44	6
New York	164	$14.53	$11.36	8
South Carolina	131	$14.61	$11.36	8
Massachusetts	118	$14.61	$11.33	6
Oklahoma	113	$14.38	$11.11	6
Arizona	103	$14.50	$10.64	7
Mississippi	95	$14.62	$10.90	5
Kentucky	95	$14.46	$11.02	6
New Jersey	94	$14.34	$11.31	6
Alaska	93	$14.48	$11.01	5
Colorado	77	$14.61	$11.18	5
Kansas	68	$14.50	$10.99	4
Nebraska	65	$14.39	$11.14	4
Washington	64	$13.45	$10.48	4
Oregon	56	$13.80	$11.47	4
Indiana	52	$13.48	$11.85	1
Iowa	39	$14.61	$11.33	3
New Mexico	32	$10.84	$10.65	2
Missouri	31	$14.61	$11.26	2
Connecticut	28	$13.57	$11.01	2
Rhode Island	26	$14.60	$11.63	2
Louisiana	24	$14.62	$10.70	2
Alabama	20	$14.60	$11.63	1
Maine	15	$14.60	$11.63	1
Ohio	15	$14.60	$11.63	1
Wisconsin	12	$14.60	$11.63	1

Related codes

Q4010Cast supplies$23.01
Q4038Cast supplies$47.92
Q4037Cast supplies$19.43
Q4049Finger splint$2.51
Q4046Cast supplies$21.80
Q4021Cast supplies$8.05
Q4014Cast supplies$31.42

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.