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#3657 of 11K

M0222

HCPCS Procedure Code

HCPCS code M0222 is the #3,657 most-billed Medicaid procedure code, with $1.4M in payments across 9,641 claims from 2018–2024. The national median cost per claim is $142.80.

Total Paid

$1.4M

0.00% of all spending

Total Claims

9,641

Providers

156

Avg Cost/Claim

$142

National Cost Distribution

How much do providers bill per claim for M0222? Based on 143 providers billing this code nationally.

Median

$142.80

Average

$151.87

Std Dev

$93.84

Max

$456.00

Percentile Distribution (Cost per Claim)

p10
$28.04
p25
$77.13
Median
$142.80
p75
$212.53
p90
$279.76
p95
$310.61
p99
$363.30

50% of providers bill between $77.13 and $212.53 per claim for this code.

90% bill between $28.04 and $279.76.

Top 1% bill above $363.30.

About This Procedure

HCPCS code M0222 was billed by 156 providers across 9,641 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 8,543 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$142.80

Providers Billing

143

National Spending

$1.4M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0222

#ProviderTotal Paid
1Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$143K
2Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$75K
3Berkshire Medical Center, Inc

Pittsfield, MA · General Acute Care Hospital

$56K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$51K
51841266194$46K
61558575746$39K
7Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$37K
81720316144$35K
91861409823$35K
10Samaritan Hospital Of Troy, New York

Troy, NY

$32K
11Svmc Holdings, Inc

Bridgeport, CT · General Acute Care Hospital

$32K
12Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$31K
131629201264$30K
141902865355$28K
151962157404$27K
16Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$26K
171609118041$25K
181871246835$22K
19Kern County Hospital Authority

Bakersfield, CA · General Acute Care Hospital

$20K
201366596504$19K

Showing top 20 of 156 providers billing this code