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#8627 of 11K

Q0239

HCPCS Procedure Code

HCPCS code Q0239 is the #8,627 most-billed Medicaid procedure code, with $2K in payments across 1,108 claims from 2018–2024. The national median cost per claim is $0.17. Costs vary widely — the 90th percentile is $15.19 per claim, 89.4× the median.

Total Paid

$2K

0.00% of all spending

Total Claims

1,108

Providers

42

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for Q0239? Based on 18 providers billing this code nationally.

Median

$0.17

Average

$5.06

Std Dev

$7.82

Max

$25.06

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.02
Median
$0.17
p75
$10.34
p90
$15.19
p95
$18.60
p99
$23.77

50% of providers bill between $0.02 and $10.34 per claim for this code.

90% bill between $0.01 and $15.19.

Top 1% bill above $23.77.

About This Procedure

HCPCS code Q0239 was billed by 42 providers across 1,108 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 994 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.17

Providers Billing

18

National Spending

$2K

Avg/Median Ratio

29.76×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0239

#ProviderTotal Paid
1Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$601
2St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$313
31356307581$270
4Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$262
51043279565$195
61902865355$162
7Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$14
8Hmh Hospitals Corporation

Neptune, NJ · General Acute Care Hospital

$14
9Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$12
10Edward W Sparrow Hospital Association

Lansing, MI · Rehabilitation, Substance Use Disorder Unit

$3
11Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$2
121609983790$1
13Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$1
141447457775$0
15Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$0
16Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$0
17Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$0
18Sharp Chula Vista Medical Center

Chula Vista, CA · General Acute Care Hospital

$0
191891792495$0
20Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$0

Showing top 20 of 42 providers billing this code