M0239
HCPCS Procedure Code
HCPCS code M0239 is the #4,551 most-billed Medicaid procedure code, with $519K in payments across 5,117 claims from 2018–2024. The national median cost per claim is $98.17. Costs vary widely — the 90th percentile is $247.98 per claim, 2.5× the median.
Total Paid
$519K
0.00% of all spending
Total Claims
5,117
Providers
140
Avg Cost/Claim
$101
National Cost Distribution
How much do providers bill per claim for M0239? Based on 117 providers billing this code nationally.
Median
$98.17
Average
$119.27
Std Dev
$86.62
Max
$308.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.67 and $195.22 per claim for this code.
90% bill between $21.01 and $247.98.
Top 1% bill above $299.01.
About This Procedure
HCPCS code M0239 was billed by 140 providers across 5,117 claims, totaling $519K in Medicaid payments from 2018–2024. This code was used for 4,424 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.17
Providers Billing
117
National Spending
$519K
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0239
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1457369381 | $25K |
| 2 | 1922139120 | $22K |
| 3 | 1366459570 | $20K |
| 4 | Tucson Medical Center Tucson, AZ · Clinic/Center, Hearing and Speech | $20K |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $19K |
| 6 | Reading Hospital West Reading, PA · Surgery | $19K |
| 7 | 1669470019 | $14K |
| 8 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $13K |
| 9 | 1407813660 | $13K |
| 10 | 1841266194 | $12K |
| 11 | Banner - University Medical Center Phoenix Phoenix, AZ · Clinic/Center, Sleep Disorder Diagnostic | $12K |
| 12 | Montefiore Medical Center Bronx, NY · Anesthesiology | $12K |
| 13 | 1184971038 | $11K |
| 14 | 1043293608 | $10K |
| 15 | Richmond Medical Center Staten Island, NY · Psychiatric Unit | $10K |
| 16 | Ochsner Clinic Foundation New Orleans, LA · General Acute Care Hospital | $10K |
| 17 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $10K |
| 18 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $10K |
| 19 | 1194758284 | $9K |
| 20 | 1972681484 | $9K |
Showing top 20 of 140 providers billing this code