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#2680 of 11K

Q0111

HCPCS Procedure Code

HCPCS code Q0111 is the #2,680 most-billed Medicaid procedure code, with $4.2M in payments across 679K claims from 2018–2024. The national median cost per claim is $3.66. Costs vary widely — the 90th percentile is $12.40 per claim, 3.4× the median.

Total Paid

$4.2M

0.00% of all spending

Total Claims

679K

Providers

438

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for Q0111? Based on 408 providers billing this code nationally.

Median

$3.66

Average

$5.88

Std Dev

$5.69

Max

$35.06

Percentile Distribution (Cost per Claim)

p10
$2.25
p25
$3.17
Median
$3.66
p75
$5.65
p90
$12.40
p95
$21.01
p99
$26.04

50% of providers bill between $3.17 and $5.65 per claim for this code.

90% bill between $2.25 and $12.40.

Top 1% bill above $26.04.

About This Procedure

HCPCS code Q0111 was billed by 438 providers across 679K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 653K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3.66

Providers Billing

408

National Spending

$4.2M

Avg/Median Ratio

1.61×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0111

#ProviderTotal Paid
1Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$399K
2Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$366K
31346213337$113K
41508930561$111K
51508839804$100K
61790732303$95K
71932251451$95K
81932396017$94K
91629186374$91K
101831570860$90K
111053420992$77K
121386617686$73K
131649243932$72K
141467560599$64K
151437446382$64K
161639435811$62K
17William Beaumont Hospital

Royal Oak, MI · General Acute Care Hospital

$62K
181760455695$58K
191174579155$56K
201376809004$51K

Showing top 20 of 438 providers billing this code

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