Q0513
HCPCS Procedure Code
HCPCS code Q0513 is the #2,586 most-billed Medicaid procedure code, with $4.8M in payments across 1.3M claims from 2018–2024. The national median cost per claim is $5.61. Costs vary widely — the 90th percentile is $13.22 per claim, 2.4× the median.
Total Paid
$4.8M
0.00% of all spending
Total Claims
1.3M
Providers
478
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for Q0513? Based on 400 providers billing this code nationally.
Median
$5.61
Average
$8.08
Std Dev
$18.49
Max
$243.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.70 and $8.33 per claim for this code.
90% bill between $0.51 and $13.22.
Top 1% bill above $59.31.
About This Procedure
HCPCS code Q0513 was billed by 478 providers across 1.3M claims, totaling $4.8M in Medicaid payments from 2018–2024. This code was used for 1.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.61
Providers Billing
400
National Spending
$4.8M
Avg/Median Ratio
1.44×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for Q0513
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780748939 | $1.7M |
| 2 | 1114081270 | $512K |
| 3 | 1275697435 | $423K |
| 4 | 1003970260 | $417K |
| 5 | 1134698418 | $394K |
| 6 | 1114943610 | $131K |
| 7 | 1912060740 | $108K |
| 8 | Accredo Health Group Inc Warrendale, PA · Pharmacy, Community/Retail Pharmacy | $108K |
| 9 | 1194725705 | $105K |
| 10 | Accredo Health Group Inc Memphis, TN · Pharmacy | $103K |
| 11 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $95K |
| 12 | 1205831963 | $86K |
| 13 | 1730177668 | $83K |
| 14 | 1013913458 | $55K |
| 15 | 1568465938 | $32K |
| 16 | 1588830533 | $20K |
| 17 | 1730265331 | $18K |
| 18 | 1477571404 | $14K |
| 19 | Super Care Inc City Of Industry, CA · Durable Medical Equipment & Medical Supplies | $14K |
| 20 | 1467420836 | $13K |
Showing top 20 of 478 providers billing this code