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#2583 of 11K

Q9957

HCPCS Procedure Code

HCPCS code Q9957 is the #2,583 most-billed Medicaid procedure code, with $4.8M in payments across 233K claims from 2018–2024. The national median cost per claim is $15.89. Costs vary widely — the 90th percentile is $86.91 per claim, 5.5× the median.

Total Paid

$4.8M

0.00% of all spending

Total Claims

233K

Providers

395

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for Q9957? Based on 249 providers billing this code nationally.

Median

$15.89

Average

$36.04

Std Dev

$58.28

Max

$535.60

Percentile Distribution (Cost per Claim)

p10
$0.18
p25
$1.38
Median
$15.89
p75
$50.36
p90
$86.91
p95
$112.94
p99
$270.04

50% of providers bill between $1.38 and $50.36 per claim for this code.

90% bill between $0.18 and $86.91.

Top 1% bill above $270.04.

About This Procedure

HCPCS code Q9957 was billed by 395 providers across 233K claims, totaling $4.8M in Medicaid payments from 2018–2024. This code was used for 212K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.89

Providers Billing

249

National Spending

$4.8M

Avg/Median Ratio

2.27×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q9957

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$434K
2Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$287K
3Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$283K
4Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$282K
51730264128$279K
6Keck Medical Center Of Usc

Los Angeles, CA · General Acute Care Hospital

$252K
71265539498$223K
8St Lukes Roosevelt Hospital Center

New York, NY · Case Management

$190K
91427055821$174K
101588663769$163K
11West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$147K
12Mount Sinai Hospital

New York, NY · Ambulance

$122K
131306914213$97K
141770693939$82K
15Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$76K
16The Miriam Hospital

Providence, RI · General Acute Care Hospital

$75K
17University Of California Irvine

Orange, CA · General Acute Care Hospital

$67K
18University Of Kentucky

Lexington, KY · General Acute Care Hospital

$66K
191952546616$64K
201356307581$57K

Showing top 20 of 395 providers billing this code