Q0163
HCPCS Procedure Code
HCPCS code Q0163 is the #3,612 most-billed Medicaid procedure code, with $1.4M in payments across 506K claims from 2018–2024. The national median cost per claim is $0.18. Costs vary widely — the 90th percentile is $3.84 per claim, 21.3× the median.
Total Paid
$1.4M
0.00% of all spending
Total Claims
506K
Providers
385
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for Q0163? Based on 271 providers billing this code nationally.
Median
$0.18
Average
$6.16
Std Dev
$37.82
Max
$532.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $0.86 per claim for this code.
90% bill between $0.00 and $3.84.
Top 1% bill above $125.82.
About This Procedure
HCPCS code Q0163 was billed by 385 providers across 506K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 380K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.18
Providers Billing
271
National Spending
$1.4M
Avg/Median Ratio
34.22×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0163
| # | Provider | Total Paid |
|---|---|---|
| 1 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $383K |
| 2 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $225K |
| 3 | Antelope Valley Health Care District Lancaster, CA · General Acute Care Hospital | $174K |
| 4 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $117K |
| 5 | Lexington Health Inc West Columbia, SC · General Acute Care Hospital | $48K |
| 6 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $46K |
| 7 | 1235196510 | $43K |
| 8 | 1770693939 | $43K |
| 9 | 1447457775 | $40K |
| 10 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $37K |
| 11 | 1356366314 | $26K |
| 12 | Riverside Hospital Inc Newport News, VA · Psychiatric Hospital | $20K |
| 13 | 1679660617 | $18K |
| 14 | 1881632818 | $18K |
| 15 | Virtua - West Jersey Health System Inc. Voorhees, NJ · General Acute Care Hospital | $16K |
| 16 | 1013981554 | $13K |
| 17 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $11K |
| 18 | 1699704254 | $9K |
| 19 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $8K |
| 20 | 1194790055 | $8K |
Showing top 20 of 385 providers billing this code