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#6045 of 11K

Q0114

HCPCS Procedure Code

HCPCS code Q0114 is the #6,045 most-billed Medicaid procedure code, with $102K in payments across 21K claims from 2018–2024. The national median cost per claim is $4.78. Costs vary widely — the 90th percentile is $10.51 per claim, 2.2× the median.

Total Paid

$102K

0.00% of all spending

Total Claims

21K

Providers

41

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for Q0114? Based on 32 providers billing this code nationally.

Median

$4.78

Average

$4.74

Std Dev

$4.40

Max

$17.60

Percentile Distribution (Cost per Claim)

p10
$0.06
p25
$0.97
Median
$4.78
p75
$6.40
p90
$10.51
p95
$13.60
p99
$16.87

50% of providers bill between $0.97 and $6.40 per claim for this code.

90% bill between $0.06 and $10.51.

Top 1% bill above $16.87.

About This Procedure

HCPCS code Q0114 was billed by 41 providers across 21K claims, totaling $102K in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.78

Providers Billing

32

National Spending

$102K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0114

#ProviderTotal Paid
1Orlando Health Inc.

Orlando, FL · General Acute Care Hospital

$37K
21104870187$19K
3Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$9K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$7K
5Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$6K
6The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$4K
7Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$4K
81407801640$3K
9Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$2K
10Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$2K
11Reading Hospital

West Reading, PA · Surgery

$2K
12University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$1K
131700809829$1K
14The Good Samaritan Hospital Of Cincinnati, Ohio

Cincinnati, OH · General Acute Care Hospital

$779
151790751055$614
16Edward W Sparrow Hospital Association

Lansing, MI · Rehabilitation, Substance Use Disorder Unit

$571
171407877723$401
181487771812$392
191811992084$372
20Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$273

Showing top 20 of 41 providers billing this code

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