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#8836 of 11K

Q0245

HCPCS Procedure Code

HCPCS code Q0245 is the #8,836 most-billed Medicaid procedure code, with $1K in payments across 5,995 claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $1.06 per claim, 106.0× the median.

Total Paid

$1K

0.00% of all spending

Total Claims

5,995

Providers

96

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for Q0245? Based on 47 providers billing this code nationally.

Median

$0.01

Average

$0.46

Std Dev

$1.22

Max

$6.05

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.23
p90
$1.06
p95
$3.03
p99
$5.46

50% of providers bill between $0.00 and $0.23 per claim for this code.

90% bill between $0.00 and $1.06.

Top 1% bill above $5.46.

About This Procedure

HCPCS code Q0245 was billed by 96 providers across 5,995 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 4,357 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

47

National Spending

$1K

Avg/Median Ratio

46.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0245

#ProviderTotal Paid
1Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$414
21750332565$195
31629056890$133
41003831132$62
5Edward W Sparrow Hospital Association

Lansing, MI · Rehabilitation, Substance Use Disorder Unit

$52
6Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$23
71043625940$20
8Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$19
9Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$17
101609983790$14
11Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$13
121598144362$12
131811097223$9
141336103043$6
151972564730$6
16Capital Health System, Inc.

Pennington, NJ · General Acute Care Hospital

$6
17Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$5
181538218680$4
19Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$3
20St Josephs University Medical Center Inc.

Paterson, NJ · General Acute Care Hospital

$2

Showing top 20 of 96 providers billing this code