M0120
HCPCS Procedure Code
HCPCS code M0120 is the #6,780 most-billed Medicaid procedure code, with $43K in payments across 800 claims from 2018–2024. The national median cost per claim is $50.67.
Total Paid
$43K
0.00% of all spending
Total Claims
800
Providers
6
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for M0120? Based on 6 providers billing this code nationally.
Median
$50.67
Average
$62.99
Std Dev
$25.34
Max
$110.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $48.21 and $67.59 per claim for this code.
90% bill between $46.56 and $91.74.
Top 1% bill above $108.68.
About This Procedure
HCPCS code M0120 was billed by 6 providers across 800 claims, totaling $43K in Medicaid payments from 2018–2024. This code was used for 406 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.67
Providers Billing
6
National Spending
$43K
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0120
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467810630 | $15K |
| 2 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $12K |
| 3 | 1205037066 | $8K |
| 4 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $5K |
| 5 | Kenmar Residential Hcs Services Inc. Round Rock, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $2K |
| 6 | 1942365606 | $1K |
Showing top 6 of 6 providers billing this code