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#5271 of 11K

M0202

HCPCS Procedure Code

HCPCS code M0202 is the #5,271 most-billed Medicaid procedure code, with $244K in payments across 811 claims from 2018–2024. The national median cost per claim is $288.76.

Total Paid

$244K

0.00% of all spending

Total Claims

811

Providers

3

Avg Cost/Claim

$301

National Cost Distribution

How much do providers bill per claim for M0202? Based on 3 providers billing this code nationally.

Median

$288.76

Average

$305.32

Std Dev

$42.11

Max

$353.19

Percentile Distribution (Cost per Claim)

p10
$276.96
p25
$281.38
Median
$288.76
p75
$320.98
p90
$340.30
p95
$346.75
p99
$351.90

50% of providers bill between $281.38 and $320.98 per claim for this code.

90% bill between $276.96 and $340.30.

Top 1% bill above $351.90.

About This Procedure

HCPCS code M0202 was billed by 3 providers across 811 claims, totaling $244K in Medicaid payments from 2018–2024. This code was used for 675 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$288.76

Providers Billing

3

National Spending

$244K

Avg/Median Ratio

1.06×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.