Q0091
HCPCS Procedure Code
HCPCS code Q0091 is the #1,896 most-billed Medicaid procedure code, with $12.0M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $11.15. Costs vary widely — the 90th percentile is $30.86 per claim, 2.8× the median.
Total Paid
$12.0M
0.00% of all spending
Total Claims
1.1M
Providers
2,180
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for Q0091? Based on 1,561 providers billing this code nationally.
Median
$11.15
Average
$13.98
Std Dev
$12.69
Max
$100.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.51 and $21.83 per claim for this code.
90% bill between $0.84 and $30.86.
Top 1% bill above $49.58.
About This Procedure
HCPCS code Q0091 was billed by 2,180 providers across 1.1M claims, totaling $12.0M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.15
Providers Billing
1,561
National Spending
$12.0M
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0091
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154355220 | $368K |
| 2 | 1184780355 | $313K |
| 3 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $293K |
| 4 | 1942515440 | $171K |
| 5 | 1124588793 | $170K |
| 6 | 1942475793 | $167K |
| 7 | 1245526987 | $166K |
| 8 | Sun River Health Inc. Peekskill, NY · Clinic/Center Federally Qualified Health Center (FQHC) | $154K |
| 9 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $153K |
| 10 | 1366418709 | $133K |
| 11 | 1720367204 | $106K |
| 12 | 1184610248 | $97K |
| 13 | 1710050760 | $96K |
| 14 | 1144399098 | $93K |
| 15 | 1811226749 | $91K |
| 16 | 1437161437 | $89K |
| 17 | 1790021673 | $87K |
| 18 | 1821021213 | $87K |
| 19 | 1629057146 | $82K |
| 20 | 1699733071 | $81K |
Showing top 20 of 2,180 providers billing this code