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#5329 of 11K

M0220

HCPCS Procedure Code

HCPCS code M0220 is the #5,329 most-billed Medicaid procedure code, with $227K in payments across 4,093 claims from 2018–2024. The national median cost per claim is $52.10. Costs vary widely — the 90th percentile is $123.04 per claim, 2.4× the median.

Total Paid

$227K

0.00% of all spending

Total Claims

4,093

Providers

43

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for M0220? Based on 39 providers billing this code nationally.

Median

$52.10

Average

$57.01

Std Dev

$47.31

Max

$158.62

Percentile Distribution (Cost per Claim)

p10
$4.03
p25
$7.64
Median
$52.10
p75
$91.39
p90
$123.04
p95
$141.10
p99
$155.37

50% of providers bill between $7.64 and $91.39 per claim for this code.

90% bill between $4.03 and $123.04.

Top 1% bill above $155.37.

About This Procedure

HCPCS code M0220 was billed by 43 providers across 4,093 claims, totaling $227K in Medicaid payments from 2018–2024. This code was used for 3,470 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$52.10

Providers Billing

39

National Spending

$227K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0220

#ProviderTotal Paid
11720316144$104K
2Beth Israel Deaconess Medical Center, Inc.

Boston, MA · General Acute Care Hospital

$18K
3Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$13K
4Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$11K
51386089415$8K
6Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$6K
7Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5K
8Stanford Health Care

Stanford, CA · General Acute Care Hospital

$5K
9The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$5K
10Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$5K
11Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$4K
121053325761$4K
13Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$4K
14Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$4K
15Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$3K
16Ochsner Clinic Foundation

New Orleans, LA · General Acute Care Hospital

$3K
17University Of Rochester

Rochester, NY · General Acute Care Hospital

$3K
18Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$3K
19Cooperman Barnabas Medical Center Inc

Livingston, NJ · General Acute Care Hospital

$3K
20Park Nicollet Clinic

St Louis Park, MN · Obstetrics & Gynecology

$2K

Showing top 20 of 43 providers billing this code