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#3700 of 11K

Q0222

HCPCS Procedure Code

HCPCS code Q0222 is the #3,700 most-billed Medicaid procedure code, with $1.3M in payments across 4,738 claims from 2018–2024. The national median cost per claim is $52.04. Costs vary widely — the 90th percentile is $1,298.55 per claim, 25.0× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

4,738

Providers

77

Avg Cost/Claim

$277

National Cost Distribution

How much do providers bill per claim for Q0222? Based on 51 providers billing this code nationally.

Median

$52.04

Average

$361.64

Std Dev

$527.86

Max

$2,031.03

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.12
Median
$52.04
p75
$499.65
p90
$1,298.55
p95
$1,454.24
p99
$1,794.49

50% of providers bill between $0.12 and $499.65 per claim for this code.

90% bill between $0.01 and $1,298.55.

Top 1% bill above $1,794.49.

About This Procedure

HCPCS code Q0222 was billed by 77 providers across 4,738 claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 4,039 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.04

Providers Billing

51

National Spending

$1.3M

Avg/Median Ratio

6.95×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0222

#ProviderTotal Paid
1Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$263K
2Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$174K
3Berkshire Medical Center, Inc

Pittsfield, MA · General Acute Care Hospital

$110K
41871246835$87K
5Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$76K
61962157404$65K
7Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$63K
8Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$59K
91841266194$49K
101700816048$47K
11Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$46K
12Svmc Holdings, Inc

Bridgeport, CT · General Acute Care Hospital

$41K
131497068969$34K
14Southcoast Hospitals Group, Inc

New Bedford, MA · General Acute Care Hospital

$34K
15Samaritan Hospital Of Troy, New York

Troy, NY

$29K
16Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$26K
17Hartford Hospital

Hartford, CT · General Acute Care Hospital

$20K
181902865355$19K
19Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$19K
201609869916$14K

Showing top 20 of 77 providers billing this code

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