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#1646 of 11K

Q0092

HCPCS Procedure Code

HCPCS code Q0092 is the #1,646 most-billed Medicaid procedure code, with $17.0M in payments across 5.3M claims from 2018–2024. The national median cost per claim is $2.34. Costs vary widely — the 90th percentile is $11.07 per claim, 4.7× the median.

Total Paid

$17.0M

0.00% of all spending

Total Claims

5.3M

Providers

395

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for Q0092? Based on 361 providers billing this code nationally.

Median

$2.34

Average

$4.38

Std Dev

$5.32

Max

$29.48

Percentile Distribution (Cost per Claim)

p10
$0.28
p25
$1.02
Median
$2.34
p75
$6.06
p90
$11.07
p95
$14.33
p99
$28.09

50% of providers bill between $1.02 and $6.06 per claim for this code.

90% bill between $0.28 and $11.07.

Top 1% bill above $28.09.

About This Procedure

HCPCS code Q0092 was billed by 395 providers across 5.3M claims, totaling $17.0M in Medicaid payments from 2018–2024. This code was used for 4.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.34

Providers Billing

361

National Spending

$17.0M

Avg/Median Ratio

1.87×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0092

#ProviderTotal Paid
11700865094$3.1M
21073560157$908K
31750364345$777K
41629188842$679K
51316463227$599K
61790700599$496K
71437108842$438K
81598891582$386K
91023104007$371K
101356779029$354K
111558305318$347K
121316254857$336K
131164885992$323K
141841441821$299K
151801835889$276K
161578637369$252K
171780843698$225K
181710423785$218K
191861720435$208K
201932376233$182K

Showing top 20 of 395 providers billing this code