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#3203 of 11K

Q0511

HCPCS Procedure Code

HCPCS code Q0511 is the #3,203 most-billed Medicaid procedure code, with $2.2M in payments across 679K claims from 2018–2024. The national median cost per claim is $2.11. Costs vary widely — the 90th percentile is $5.61 per claim, 2.7× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

679K

Providers

281

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for Q0511? Based on 251 providers billing this code nationally.

Median

$2.11

Average

$3.66

Std Dev

$7.13

Max

$62.12

Percentile Distribution (Cost per Claim)

p10
$0.07
p25
$0.49
Median
$2.11
p75
$4.10
p90
$5.61
p95
$8.38
p99
$35.66

50% of providers bill between $0.49 and $4.10 per claim for this code.

90% bill between $0.07 and $5.61.

Top 1% bill above $35.66.

About This Procedure

HCPCS code Q0511 was billed by 281 providers across 679K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 603K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.11

Providers Billing

251

National Spending

$2.2M

Avg/Median Ratio

1.73×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for Q0511

#ProviderTotal Paid
11912329434$341K
21174689715$291K
31316213531$110K
41619080942$86K
51417901646$83K
61144260894$68K
71013913458$61K
81396128864$50K
91770586349$41K
101225482490$40K
111225147796$40K
121427080415$35K
131679676639$33K
141831594092$32K
151285091330$29K
161932135068$29K
171265538664$28K
181801819818$25K
191992809586$25K
201083038368$24K

Showing top 20 of 281 providers billing this code