Q0166
HCPCS Procedure Code
HCPCS code Q0166 is the #6,616 most-billed Medicaid procedure code, with $52K in payments across 26K claims from 2018–2024. The national median cost per claim is $3.27. Costs vary widely — the 90th percentile is $8.47 per claim, 2.6× the median.
Total Paid
$52K
0.00% of all spending
Total Claims
26K
Providers
9
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for Q0166? Based on 9 providers billing this code nationally.
Median
$3.27
Average
$4.02
Std Dev
$4.21
Max
$13.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.68 and $4.32 per claim for this code.
90% bill between $0.55 and $8.47.
Top 1% bill above $13.04.
About This Procedure
HCPCS code Q0166 was billed by 9 providers across 26K claims, totaling $52K in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3.27
Providers Billing
9
National Spending
$52K
Avg/Median Ratio
1.23×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0166
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427176569 | $28K |
| 2 | Bronxcare Health System Bronx, NY · General Acute Care Hospital | $9K |
| 3 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $8K |
| 4 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $6K |
| 5 | 1639197395 | $1K |
| 6 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $471 |
| 7 | 1740648856 | $152 |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $95 |
| 9 | 1073518007 | $6 |
Showing top 9 of 9 providers billing this code