0001M
HCPCS Procedure Code
HCPCS code 0001M is the #6,211 most-billed Medicaid procedure code, with $83K in payments across 3,776 claims from 2018–2024. The national median cost per claim is $12.47. Costs vary widely — the 90th percentile is $48.24 per claim, 3.9× the median.
Total Paid
$83K
0.00% of all spending
Total Claims
3,776
Providers
19
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for 0001M? Based on 9 providers billing this code nationally.
Median
$12.47
Average
$23.96
Std Dev
$17.38
Max
$48.29
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.46 and $39.26 per claim for this code.
90% bill between $8.85 and $48.24.
Top 1% bill above $48.28.
About This Procedure
HCPCS code 0001M was billed by 19 providers across 3,776 claims, totaling $83K in Medicaid payments from 2018–2024. This code was used for 3,615 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.47
Providers Billing
9
National Spending
$83K
Avg/Median Ratio
1.92×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 0001M
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $45K |
| 2 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $23K |
| 3 | 1316983158 | $4K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $3K |
| 5 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $3K |
| 6 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $3K |
| 7 | 1346233277 | $2K |
| 8 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $2K |
| 9 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $232 |
| 10 | 1588748073 | $0 |
| 11 | 1780620526 | $0 |
| 12 | 1538300686 | $0 |
| 13 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $0 |
| 14 | 1124085576 | $0 |
| 15 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $0 |
| 16 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $0 |
| 17 | Quest Diagnostics Incorporated Las Vegas, NV · Clinical Medical Laboratory | $0 |
| 18 | 1003095464 | $0 |
| 19 | 1881904829 | $0 |
Showing top 19 of 19 providers billing this code