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#8236 of 11K

M0221

HCPCS Procedure Code

HCPCS code M0221 is the #8,236 most-billed Medicaid procedure code, with $5K in payments across 36 claims from 2018–2024. The national median cost per claim is $221.64.

Total Paid

$5K

0.00% of all spending

Total Claims

36

Providers

2

Avg Cost/Claim

$129

National Cost Distribution

How much do providers bill per claim for M0221? Based on 1 providers billing this code nationally.

Median

$221.64

Average

$221.64

Std Dev

Max

$221.64

Percentile Distribution (Cost per Claim)

p10
$221.64
p25
$221.64
Median
$221.64
p75
$221.64
p90
$221.64
p95
$221.64
p99
$221.64

50% of providers bill between $221.64 and $221.64 per claim for this code.

90% bill between $221.64 and $221.64.

Top 1% bill above $221.64.

About This Procedure

HCPCS code M0221 was billed by 2 providers across 36 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 34 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$221.64

Providers Billing

1

National Spending

$5K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.