M0131
HCPCS Procedure Code
HCPCS code M0131 is the #4,809 most-billed Medicaid procedure code, with $390K in payments across 6K claims from 2018–2024. The national median cost per claim is $72.01.
Total Paid
$390K
0.00% of all spending
Total Claims
6K
Providers
8
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for M0131? Based on 8 providers billing this code nationally.
Median
$72.01
Average
$69.35
Std Dev
$10.08
Max
$79.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $61.90 and $77.99 per claim for this code.
90% bill between $57.25 and $78.47.
Top 1% bill above $79.01.
About This Procedure
HCPCS code M0131 was billed by 8 providers across 6K claims, totaling $390K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.01
Providers Billing
8
National Spending
$390K
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0131
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235431453 | $163K |
| 2 | 1811039225 | $100K |
| 3 | 1972700094 | $79K |
| 4 | Berry Family Services Rowlett, TX · Case Management | $19K |
| 5 | 1205037066 | $14K |
| 6 | Lifetime Living Inc. San Antonio, TX · Case Management | $7K |
| 7 | 1144658428 | $6K |
| 8 | 1447396916 | $3K |
Showing top 8 of 8 providers billing this code