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#8409 of 11K

Q0240

HCPCS Procedure Code

HCPCS code Q0240 is the #8,409 most-billed Medicaid procedure code, with $3K in payments across 828 claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $39.64 per claim, 3964.0× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

828

Providers

21

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for Q0240? Based on 7 providers billing this code nationally.

Median

$0.01

Average

$14.16

Std Dev

$37.45

Max

$99.08

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.01
p90
$39.64
p95
$69.36
p99
$93.14

50% of providers bill between $0.00 and $0.01 per claim for this code.

90% bill between $0.00 and $39.64.

Top 1% bill above $93.14.

About This Procedure

HCPCS code Q0240 was billed by 21 providers across 828 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 615 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

7

National Spending

$3K

Avg/Median Ratio

1416.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0240

#ProviderTotal Paid
1Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$3K
21942248737$0
31285982678$0
41740833243$0
5Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$0
61376577247$0
71326093873$0
81124005061$0
91649277476$0
101316018781$0
111528023520$0
12Spectrum Health Hospitals

Grand Rapids, MI · General Acute Care Hospital

$0
131699362673$0
141770690695$0
15Upmc Presbyterian Shadyside

Pittsburgh, PA · Clinic/Center

$0
161871566521$0
171043778319$0
181861971384$0
191780022855$0
201184606600$0

Showing top 20 of 21 providers billing this code