#769 of 11K

Q9992

HCPCS Procedure Code

HCPCS code Q9992 is the #769 most-billed Medicaid procedure code, with $84.8M in payments across 69K claims from 2018–2024. The national median cost per claim is $1,537.34.

Total Paid

$84.8M

0.01% of all spending

Total Claims

69K

Providers

101

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for Q9992? Based on 81 providers billing this code nationally.

Median

$1,537.34

Average

$1,275.16

Std Dev

$696.08

Max

$2,929.88

Percentile Distribution (Cost per Claim)

p10

$10.44

p25

$969.25

Median

$1,537.34

p75

$1,725.45

p90

$1,914.02

p95

$2,032.22

p99

$2,326.38

50% of providers bill between $969.25 and $1,725.45 per claim for this code.

90% bill between $10.44 and $1,914.02.

Top 1% bill above $2,326.38.

About This Procedure

HCPCS code Q9992 was billed by 101 providers across 69K claims, totaling $84.8M in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,537.34

Providers Billing

National Spending

$84.8M

Avg/Median Ratio

0.83×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q9992

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Accredo Health Group Inc Memphis, TN · Pharmacy	$15.0M	$1,582.15	1.0× median	Above Median
2	1497776454	$6.7M	$1,914.02	1.2× median	Above 75th
3	1083045140	$5.9M	$1,418.08	0.9× median	Below Median
4	1942453220	$5.4M	$1,733.20	1.1× median	Above 75th
5	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$4.8M	$1,489.21	1.0× median	Below Median
6	Orsini Pharmaceutical Services Llc Elk Grove Village, IL · Pharmacy Specialty Pharmacy	$4.7M	$1,438.91	0.9× median	Below Median
7	1013456383	$3.8M	$1,593.80	1.0× median	Above Median
8	1801495544	$3.1M	$1,826.72	1.2× median	Above 75th
9	1154321545	$2.9M	$1,476.68	1.0× median	Below Median
10	1811206071	$2.8M	$1,603.44	1.0× median	Above Median
11	Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent	$2.4M	$1,555.19	1.0× median	Above Median
12	1033157771	$2.2M	$1,661.71	1.1× median	Above Median
13	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$2.1M	$1,444.51	0.9× median	Below Median
14	1588726236	$1.9M	$1,983.54	1.3× median	Top 10%
15	1306407440	$1.8M	$1,725.45	1.1× median	Above Median
16	1043387152	$1.6M	$1,527.64	1.0× median	Below Median
17	1982341731	$1.4M	$2,032.22	1.3× median	Top 10%
18	Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy	$1.1M	$1,806.72	1.2× median	Above 75th
19	1013994359	$1.1M	$1,361.56	0.9× median	Below Median
20	1396125399	$1.1M	$1,973.15	1.3× median	Top 10%

Showing top 20 of 101 providers billing this code

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