Q0512
HCPCS Procedure Code
HCPCS code Q0512 is the #3,289 most-billed Medicaid procedure code, with $2.0M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $1.14. Costs vary widely — the 90th percentile is $3.95 per claim, 3.5× the median.
Total Paid
$2.0M
0.00% of all spending
Total Claims
1.0M
Providers
283
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for Q0512? Based on 255 providers billing this code nationally.
Median
$1.14
Average
$2.26
Std Dev
$4.87
Max
$38.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.24 and $2.49 per claim for this code.
90% bill between $0.02 and $3.95.
Top 1% bill above $29.28.
About This Procedure
HCPCS code Q0512 was billed by 283 providers across 1.0M claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 589K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.14
Providers Billing
255
National Spending
$2.0M
Avg/Median Ratio
1.98×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0512
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1912329434 | $453K |
| 2 | 1316213531 | $177K |
| 3 | 1144260894 | $122K |
| 4 | 1396128864 | $80K |
| 5 | 1417901646 | $61K |
| 6 | 1013913458 | $59K |
| 7 | 1619080942 | $58K |
| 8 | 1174689715 | $42K |
| 9 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $37K |
| 10 | 1770586349 | $35K |
| 11 | 1427080415 | $31K |
| 12 | 1265538664 | $30K |
| 13 | 1831594092 | $30K |
| 14 | 1285091330 | $29K |
| 15 | 1932135068 | $29K |
| 16 | 1225482490 | $28K |
| 17 | 1437513876 | $22K |
| 18 | 1225147796 | $20K |
| 19 | 1801819818 | $20K |
| 20 | 1871929224 | $19K |
Showing top 20 of 283 providers billing this code