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#2875 of 11K

Q0509

HCPCS Procedure Code

HCPCS code Q0509 is the #2,875 most-billed Medicaid procedure code, with $3.2M in payments across 8K claims from 2018–2024. The national median cost per claim is $384.18. Costs vary widely — the 90th percentile is $780.26 per claim, 2.0× the median.

Total Paid

$3.2M

0.00% of all spending

Total Claims

8K

Providers

4

Avg Cost/Claim

$415

National Cost Distribution

How much do providers bill per claim for Q0509? Based on 4 providers billing this code nationally.

Median

$384.18

Average

$450.65

Std Dev

$338.36

Max

$909.50

Percentile Distribution (Cost per Claim)

p10
$174.22
p25
$248.43
Median
$384.18
p75
$586.40
p90
$780.26
p95
$844.88
p99
$896.57

50% of providers bill between $248.43 and $586.40 per claim for this code.

90% bill between $174.22 and $780.26.

Top 1% bill above $896.57.

About This Procedure

HCPCS code Q0509 was billed by 4 providers across 8K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$384.18

Providers Billing

4

National Spending

$3.2M

Avg/Median Ratio

1.17×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.