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#4422 of 11K

M0119

HCPCS Procedure Code

HCPCS code M0119 is the #4,422 most-billed Medicaid procedure code, with $600K in payments across 4,267 claims from 2018–2024. The national median cost per claim is $140.39.

Total Paid

$600K

0.00% of all spending

Total Claims

4,267

Providers

2

Avg Cost/Claim

$141

National Cost Distribution

How much do providers bill per claim for M0119? Based on 2 providers billing this code nationally.

Median

$140.39

Average

$140.39

Std Dev

$0.30

Max

$140.60

Percentile Distribution (Cost per Claim)

p10
$140.21
p25
$140.28
Median
$140.39
p75
$140.49
p90
$140.56
p95
$140.58
p99
$140.59

50% of providers bill between $140.28 and $140.49 per claim for this code.

90% bill between $140.21 and $140.56.

Top 1% bill above $140.59.

About This Procedure

HCPCS code M0119 was billed by 2 providers across 4,267 claims, totaling $600K in Medicaid payments from 2018–2024. This code was used for 210 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$140.39

Providers Billing

2

National Spending

$600K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.