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#3356 of 11K

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)

p10
$0.12
p25
$0.47
Median
$1.82
p75
$9.50
p90
$40.31
p95
$70.31
p99
$89.77

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

#ProviderTotal Paid
11780681189$750K
21033183603$274K
31710943881$65K
41619993987$50K
51245221050$41K
61437555299$39K
71295747277$38K
81457369381$36K
91467649657$36K
101255387403$31K
111609869916$28K
12Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$26K
131134526148$25K
141760485221$23K
15Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$19K
161790906816$18K
171083636179$16K
181508024126$16K
19Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$15K
201518478783$13K

Showing top 20 of 288 providers billing this code