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#6616 of 11K

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)

p10
$0.55
p25
$0.68
Median
$3.27
p75
$4.32
p90
$8.47
p95
$11.01
p99
$13.04

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

#ProviderTotal Paid
11427176569$28K
2Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$9K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$8K
4County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$6K
51639197395$1K
6New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$471
71740648856$152
8Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$95
91073518007$6

Showing top 9 of 9 providers billing this code