Q9965
HCPCS Procedure Code
HCPCS code Q9965 is the #3,356 most-billed Medicaid procedure code, with $1.9M in payments across 223K claims from 2018–2024. The national median cost per claim is $1.82. Costs vary widely — the 90th percentile is $40.31 per claim, 22.1× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
223K
Providers
288
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for Q9965? Based on 185 providers billing this code nationally.
Median
$1.82
Average
$12.58
Std Dev
$29.77
Max
$296.34
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.47 and $9.50 per claim for this code.
90% bill between $0.12 and $40.31.
Top 1% bill above $89.77.
About This Procedure
HCPCS code Q9965 was billed by 288 providers across 223K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 174K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1.82
Providers Billing
185
National Spending
$1.9M
Avg/Median Ratio
6.91×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for Q9965
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780681189 | $750K |
| 2 | 1033183603 | $274K |
| 3 | 1710943881 | $65K |
| 4 | 1619993987 | $50K |
| 5 | 1245221050 | $41K |
| 6 | 1437555299 | $39K |
| 7 | 1295747277 | $38K |
| 8 | 1457369381 | $36K |
| 9 | 1467649657 | $36K |
| 10 | 1255387403 | $31K |
| 11 | 1609869916 | $28K |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $26K |
| 13 | 1134526148 | $25K |
| 14 | 1760485221 | $23K |
| 15 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $19K |
| 16 | 1790906816 | $18K |
| 17 | 1083636179 | $16K |
| 18 | 1508024126 | $16K |
| 19 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $15K |
| 20 | 1518478783 | $13K |
Showing top 20 of 288 providers billing this code