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#7753 of 11K

Q0221

HCPCS Procedure Code

HCPCS code Q0221 is the #7,753 most-billed Medicaid procedure code, with $11K in payments across 684 claims from 2018–2024. The national median cost per claim is $0.06. Costs vary widely — the 90th percentile is $25.82 per claim, 430.3× the median.

Total Paid

$11K

0.00% of all spending

Total Claims

684

Providers

12

Avg Cost/Claim

$16

National Cost Distribution

How much do providers bill per claim for Q0221? Based on 6 providers billing this code nationally.

Median

$0.06

Average

$8.63

Std Dev

$15.05

Max

$36.93

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.06
p75
$11.06
p90
$25.82
p95
$31.37
p99
$35.81

50% of providers bill between $0.00 and $11.06 per claim for this code.

90% bill between $0.00 and $25.82.

Top 1% bill above $35.81.

About This Procedure

HCPCS code Q0221 was billed by 12 providers across 684 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 617 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.06

Providers Billing

6

National Spending

$11K

Avg/Median Ratio

143.83×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0221

#ProviderTotal Paid
1Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$10K
2University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$235
3Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$2
4University Of Washington

Seattle, WA · Clinic/Center, Dental

$0
5Sage River Counseling

Seattle, WA · Counselor Mental Health

$0
61164493847$0
7Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$0
8Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$0
9Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$0
10Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$0
11The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$0
12Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$0

Showing top 12 of 12 providers billing this code

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