How much does Medicare pay for HCPCS Q4275?

Medicare allowed an average of $2621.95 per service and paid $2089.03 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2808.56, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code Q4275?

Esano aca, per square centimeter. It was billed 218,147 times to 1,125 Medicare beneficiaries by 46 providers in 2024.

Which specialty bills Q4275 most?

Nurse Practitioner, with 114,349 services from 25 clinicians. Next are Nephrology, Family Practice, Internal Medicine.

HCPCS Q4275

Esano aca, per square centimeter

$2621.95Medicare-allowed amount per service, averaged across 218,147 services

Providers submitted

$2808.56

Asking price, not received

Medicare allowed

$2621.95

The fee schedule figure

Medicare paid

$2089.03

Balance is patient coinsurance

Services: 218,147
Beneficiaries: 1,125
Providers billing it: 46
Total allowed: $571,970,527

What Medicare pays for HCPCS Q4275

Across 218,147 services billed by 46 providers to 1,125 beneficiaries, Medicare allowed an average of $2621.95 per service. That is 193.9 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 Q4275

Specialty	Services	Beneficiaries	Avg allowed	Providers
Nurse Practitioner	114,349	640	$2632.54	25
Nephrology	33,098	110	$2609.54	1
Family Practice	18,012	101	$2588.91	5
Internal Medicine	17,276	93	$2608.92	4
Vascular Surgery	11,928	40	$2609.81	1
General Practice	8,873	23	$2609.81	1
General Surgery	6,276	34	$2608.17	3
Physician Assistant	5,205	50	$2661.62	3
Podiatry	3,130	34	$2670.34	3

Q4275 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
Florida	85,186	$2601.90	$2073.06	17
Texas	51,554	$2609.57	$2079.17	6
Nevada	23,330	$2627.01	$2093.06	1
New Jersey	20,899	$2606.74	$2076.91	5
Illinois	15,553	$2759.62	$2198.72	5
Michigan	13,725	$2603.35	$2074.21	6
Arizona	3,034	$2758.54	$2197.86	1
California	2,610	$2591.99	$2065.17	4
New York	2,256	$2764.96	$2202.98	1

Related codes

Q4205Membrane graft or membrane wrap$1301.16
Q4271Complete ft, per square centimeter$1655.29
Q4262Dual layer impax membrane$1135.62
Q4276Orion, per square centimeter$1335.32
Q4238Derm-maxx, per square centimeter$1119.08
Q4282Cygnus dual, per square centimeter$773.66
Q4236Carepatch, per square centimeter$758.90
Q4277Woundplus membrane or e-graft$1738.38
Q4299Amnicore pro+$2369.06
Q4239Amnio-maxx or amnio-maxx lite$2395.07
Q4278Epieffect, per square centimeter$409.48
Q4221Amniowrap2, per square centimeter$1751.50

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.