Q0243
HCPCS Procedure Code
HCPCS code Q0243 is the #7,589 most-billed Medicaid procedure code, with $14K in payments across 5,192 claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $19.86 per claim, 1986.0× the median.
Total Paid
$14K
0.00% of all spending
Total Claims
5,192
Providers
92
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for Q0243? Based on 40 providers billing this code nationally.
Median
$0.01
Average
$7.78
Std Dev
$23.10
Max
$139.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.00 and $7.40 per claim for this code.
90% bill between $0.00 and $19.86.
Top 1% bill above $98.28.
About This Procedure
HCPCS code Q0243 was billed by 92 providers across 5,192 claims, totaling $14K in Medicaid payments from 2018–2024. This code was used for 3,877 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.01
Providers Billing
40
National Spending
$14K
Avg/Median Ratio
778.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0243
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $3K |
| 2 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $3K |
| 3 | 1063495836 | $2K |
| 4 | 1780694372 | $2K |
| 5 | 1265740195 | $1K |
| 6 | 1225033020 | $512 |
| 7 | 1104890714 | $470 |
| 8 | 1750788238 | $364 |
| 9 | 1225156888 | $289 |
| 10 | 1497352587 | $270 |
| 11 | 1780667923 | $216 |
| 12 | 1902865355 | $163 |
| 13 | 1043279565 | $162 |
| 14 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $76 |
| 15 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $1 |
| 16 | 1881695146 | $1 |
| 17 | 1558364802 | $0 |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $0 |
| 19 | 1487647590 | $0 |
| 20 | 1841253937 | $0 |
Showing top 20 of 92 providers billing this code