M0154
HCPCS Procedure Code
HCPCS code M0154 is the #5,063 most-billed Medicaid procedure code, with $303K in payments across 3,659 claims from 2018–2024. The national median cost per claim is $52.98.
Total Paid
$303K
0.00% of all spending
Total Claims
3,659
Providers
3
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for M0154? Based on 3 providers billing this code nationally.
Median
$52.98
Average
$53.27
Std Dev
$47.34
Max
$100.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.53 and $76.87 per claim for this code.
90% bill between $15.46 and $91.21.
Top 1% bill above $99.81.
About This Procedure
HCPCS code M0154 was billed by 3 providers across 3,659 claims, totaling $303K in Medicaid payments from 2018–2024. This code was used for 864 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$52.98
Providers Billing
3
National Spending
$303K
Avg/Median Ratio
1.01×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.