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#2276 of 11K

Q0162

HCPCS Procedure Code

HCPCS code Q0162 is the #2,276 most-billed Medicaid procedure code, with $7.2M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $0.48. Costs vary widely — the 90th percentile is $15.14 per claim, 31.5× the median.

Total Paid

$7.2M

0.00% of all spending

Total Claims

2.0M

Providers

1,160

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for Q0162? Based on 896 providers billing this code nationally.

Median

$0.48

Average

$6.29

Std Dev

$23.41

Max

$479.27

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.05
Median
$0.48
p75
$2.73
p90
$15.14
p95
$32.98
p99
$90.24

50% of providers bill between $0.05 and $2.73 per claim for this code.

90% bill between $0.01 and $15.14.

Top 1% bill above $90.24.

About This Procedure

HCPCS code Q0162 was billed by 1,160 providers across 2.0M claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.48

Providers Billing

896

National Spending

$7.2M

Avg/Median Ratio

13.10×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0162

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$629K
21801821376$586K
3Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$470K
41740215219$376K
5Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$232K
61639143381$183K
7Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$154K
8Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$118K
91124078696$115K
101649794157$113K
111366496937$110K
121194790055$108K
13University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$103K
141457309247$102K
151417432840$100K
16Virtua - West Jersey Health System Inc.

Voorhees, NJ · General Acute Care Hospital

$100K
17University Of Kentucky

Lexington, KY · General Acute Care Hospital

$95K
181407813660$91K
191356366314$89K
201396790325$85K

Showing top 20 of 1,160 providers billing this code