M0223
HCPCS Procedure Code
HCPCS code M0223 is the #5,035 most-billed Medicaid procedure code, with $313K in payments across 1,383 claims from 2018–2024. The national median cost per claim is $231.46.
Total Paid
$313K
0.00% of all spending
Total Claims
1,383
Providers
13
Avg Cost/Claim
$226
National Cost Distribution
How much do providers bill per claim for M0223? Based on 13 providers billing this code nationally.
Median
$231.46
Average
$245.52
Std Dev
$191.20
Max
$704.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $122.19 and $363.36 per claim for this code.
90% bill between $48.34 and $416.45.
Top 1% bill above $669.97.
About This Procedure
HCPCS code M0223 was billed by 13 providers across 1,383 claims, totaling $313K in Medicaid payments from 2018–2024. This code was used for 1,088 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$231.46
Providers Billing
13
National Spending
$313K
Avg/Median Ratio
1.06×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0223
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1588298053 | $71K |
| 2 | 1487877593 | $59K |
| 3 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $57K |
| 4 | 1932342276 | $56K |
| 5 | 1952962169 | $21K |
| 6 | 1922185248 | $19K |
| 7 | 1356439905 | $8K |
| 8 | 1598257503 | $6K |
| 9 | 1356389845 | $6K |
| 10 | 1871955807 | $6K |
| 11 | 1407838766 | $3K |
| 12 | 1063525210 | $1K |
| 13 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $551 |
Showing top 13 of 13 providers billing this code