Q0164
HCPCS Procedure Code
HCPCS code Q0164 is the #8,394 most-billed Medicaid procedure code, with $3K in payments across 16K claims from 2018–2024. The national median cost per claim is $0.26. Costs vary widely — the 90th percentile is $2.20 per claim, 8.5× the median.
Total Paid
$3K
0.00% of all spending
Total Claims
16K
Providers
31
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for Q0164? Based on 18 providers billing this code nationally.
Median
$0.26
Average
$2.13
Std Dev
$6.82
Max
$29.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.08 and $0.53 per claim for this code.
90% bill between $0.03 and $2.20.
Top 1% bill above $24.87.
About This Procedure
HCPCS code Q0164 was billed by 31 providers across 16K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 9,356 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.26
Providers Billing
18
National Spending
$3K
Avg/Median Ratio
8.19×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0164
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780653618 | $1K |
| 2 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $676 |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $436 |
| 4 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $309 |
| 5 | U Of R Neurology Department Rochester, NY · Psychiatry & Neurology Neurology | $196 |
| 6 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $74 |
| 7 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $63 |
| 8 | 1548315401 | $62 |
| 9 | Alameda Health System Oakland, CA · General Acute Care Hospital | $61 |
| 10 | University Of Rochester Rochester, NY · General Acute Care Hospital | $54 |
| 11 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $32 |
| 12 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $29 |
| 13 | 1902839673 | $24 |
| 14 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $16 |
| 15 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $15 |
| 16 | 1104875103 | $7 |
| 17 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $3 |
| 18 | University Of California Irvine Orange, CA · General Acute Care Hospital | $1 |
| 19 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $0 |
| 20 | 1356307581 | $0 |
Showing top 20 of 31 providers billing this code