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#8140 of 11K

Q0169

HCPCS Procedure Code

HCPCS code Q0169 is the #8,140 most-billed Medicaid procedure code, with $6K in payments across 8,235 claims from 2018–2024. The national median cost per claim is $0.16. Costs vary widely — the 90th percentile is $2.35 per claim, 14.7× the median.

Total Paid

$6K

0.00% of all spending

Total Claims

8,235

Providers

37

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for Q0169? Based on 24 providers billing this code nationally.

Median

$0.16

Average

$0.79

Std Dev

$1.06

Max

$3.84

Percentile Distribution (Cost per Claim)

p10
$0.05
p25
$0.08
Median
$0.16
p75
$1.27
p90
$2.35
p95
$2.70
p99
$3.58

50% of providers bill between $0.08 and $1.27 per claim for this code.

90% bill between $0.05 and $2.35.

Top 1% bill above $3.58.

About This Procedure

HCPCS code Q0169 was billed by 37 providers across 8,235 claims, totaling $6K in Medicaid payments from 2018–2024. This code was used for 6,285 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.16

Providers Billing

24

National Spending

$6K

Avg/Median Ratio

4.94×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0169

#ProviderTotal Paid
11437150984$1K
21366496937$967
3Dallas County Hospital District

Dallas, TX · Clinic/Center, Ambulatory Surgical

$734
41447457775$644
51174579155$576
6Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$309
7University Medical Center, Inc

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

$304
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$132
9Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$111
10Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$74
11Children's Hospital

New Orleans, LA · General Acute Care Hospital Children

$65
121639116726$38
13Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$27
141427040328$19
151811957681$13
161619914785$11
171427055821$10
18Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$5
191285607416$4
201194762294$3

Showing top 20 of 37 providers billing this code