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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $434K |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $287K |
| 3 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $283K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $282K |
| 5 | 1730264128 | $279K |
| 6 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $252K |
| 7 | 1265539498 | $223K |
| 8 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $190K |
| 9 | 1427055821 | $174K |
| 10 | 1588663769 | $163K |
| 11 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $147K |
| 12 | Mount Sinai Hospital New York, NY · Ambulance | $122K |
| 13 | 1306914213 | $97K |
| 14 | 1770693939 | $82K |
| 15 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $76K |
| 16 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $75K |
| 17 | University Of California Irvine Orange, CA · General Acute Care Hospital | $67K |
| 18 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $66K |
| 19 | 1952546616 | $64K |
| 20 | 1356307581 | $57K |
Showing top 20 of 395 providers billing this code