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#3045 of 11K

Q0081

HCPCS Procedure Code

HCPCS code Q0081 is the #3,045 most-billed Medicaid procedure code, with $2.7M in payments across 46K claims from 2018–2024. The national median cost per claim is $66.12.

Total Paid

$2.7M

0.00% of all spending

Total Claims

46K

Providers

19

Avg Cost/Claim

$59

National Cost Distribution

How much do providers bill per claim for Q0081? Based on 19 providers billing this code nationally.

Median

$66.12

Average

$57.73

Std Dev

$30.70

Max

$100.00

Percentile Distribution (Cost per Claim)

p10
$11.02
p25
$35.52
Median
$66.12
p75
$81.02
p90
$93.94
p95
$95.12
p99
$99.02

50% of providers bill between $35.52 and $81.02 per claim for this code.

90% bill between $11.02 and $93.94.

Top 1% bill above $99.02.

About This Procedure

HCPCS code Q0081 was billed by 19 providers across 46K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 24K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$66.12

Providers Billing

19

National Spending

$2.7M

Avg/Median Ratio

0.87×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0081

#ProviderTotal Paid
1Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$614K
21750790853$493K
31306871223$467K
41912212481$336K
51396935672$269K
61497707251$118K
71174954481$104K
81679900567$103K
91659541696$37K
101013070572$37K
111922024835$29K
121639394331$16K
131083817027$14K
141740313782$12K
151114961091$10K
161306507322$10K
171467868927$9K
181598709388$2K
191578710422$1K

Showing top 19 of 19 providers billing this code