The "someone" running a profiling kernel to identify the hot spots could be you.
cd /sys/arch/<arch>/config
config -p <kernelname>
build a kernel from the ../compile/<kernelname>.PROF directory in the usual way
kgmon -b to start profiling
(generate some traffic)
kgmon -h to stop profiling
kgmon -p to dump stats
gprof /bsd gmon.out to read stats...
Assuming you're interested in routed traffic (rather than queuing traffic
generated on a box itself), make sure you run the traffic source and sink
on other machines routing through the altq box, don't source/sink traffic
on the altq box itself.