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#2677 of 11K

Q9966

HCPCS Procedure Code

HCPCS code Q9966 is the #2,677 most-billed Medicaid procedure code, with $4.2M in payments across 880K claims from 2018–2024. The national median cost per claim is $0.75. Costs vary widely — the 90th percentile is $17.33 per claim, 23.1× the median.

Total Paid

$4.2M

0.00% of all spending

Total Claims

880K

Providers

1K

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for Q9966? Based on 926 providers billing this code nationally.

Median

$0.75

Average

$8.85

Std Dev

$37.62

Max

$750.45

Percentile Distribution (Cost per Claim)

p10
$0.04
p25
$0.19
Median
$0.75
p75
$4.48
p90
$17.33
p95
$36.82
p99
$124.72

50% of providers bill between $0.19 and $4.48 per claim for this code.

90% bill between $0.04 and $17.33.

Top 1% bill above $124.72.

About This Procedure

HCPCS code Q9966 was billed by 1K providers across 880K claims, totaling $4.2M in Medicaid payments from 2018–2024. This code was used for 721K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.75

Providers Billing

926

National Spending

$4.2M

Avg/Median Ratio

11.80×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q9966

#ProviderTotal Paid
11558759498$380K
2County Of Santa Clara

San Jose, CA · Case Manager/Care Coordinator

$259K
31235196510$220K
41457382483$170K
5Johns Hopkins All Children's Hospital Inc

St Petersburg, FL · General Acute Care Hospital Children

$156K
6Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$153K
71770624702$138K
8Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$93K
9Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$90K
101215936927$85K
111982800397$80K
121437122009$70K
13University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$67K
14University Hospital

Newark, NJ · General Acute Care Hospital

$64K
151740488386$57K
161679660617$55K
171316907322$50K
181982658407$50K
191770581894$49K
20Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$47K

Showing top 20 of 1K providers billing this code