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#5399 of 11K

Q0247

HCPCS Procedure Code

HCPCS code Q0247 is the #5,399 most-billed Medicaid procedure code, with $209K in payments across 3,049 claims from 2018–2024. The national median cost per claim is $0.15. Costs vary widely — the 90th percentile is $408.64 per claim, 2724.3× the median.

Total Paid

$209K

0.00% of all spending

Total Claims

3,049

Providers

94

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for Q0247? Based on 61 providers billing this code nationally.

Median

$0.15

Average

$127.46

Std Dev

$282.83

Max

$1,212.12

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.15
p75
$83.36
p90
$408.64
p95
$852.81
p99
$1,073.24

50% of providers bill between $0.01 and $83.36 per claim for this code.

90% bill between $0.00 and $408.64.

Top 1% bill above $1,073.24.

About This Procedure

HCPCS code Q0247 was billed by 94 providers across 3,049 claims, totaling $209K in Medicaid payments from 2018–2024. This code was used for 2,702 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.15

Providers Billing

61

National Spending

$209K

Avg/Median Ratio

849.73×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0247

#ProviderTotal Paid
11902865355$50K
21497352587$35K
31043279565$28K
41710931985$16K
51528009412$15K
61962422733$14K
7Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$8K
81437150984$7K
91912227935$7K
101306876065$5K
111609869916$5K
12District Hospital Partners L P

Washington, DC · Nurse Practitioner, Family

$4K
131225289895$3K
14Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$3K
151609983790$3K
16Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$2K
17Carilion Medical Center

Roanoke, VA · General Acute Care Hospital

$1K
181144471715$1K
19Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$870
20Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$579

Showing top 20 of 94 providers billing this code