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#3695 of 11K

M0244

HCPCS Procedure Code

HCPCS code M0244 is the #3,695 most-billed Medicaid procedure code, with $1.3M in payments across 3K claims from 2018–2024. The national median cost per claim is $173.14. Costs vary widely — the 90th percentile is $659.79 per claim, 3.8× the median.

Total Paid

$1.3M

0.00% of all spending

Total Claims

3K

Providers

42

Avg Cost/Claim

$420

National Cost Distribution

How much do providers bill per claim for M0244? Based on 35 providers billing this code nationally.

Median

$173.14

Average

$274.74

Std Dev

$263.36

Max

$859.21

Percentile Distribution (Cost per Claim)

p10
$20.68
p25
$54.47
Median
$173.14
p75
$498.95
p90
$659.79
p95
$709.67
p99
$824.82

50% of providers bill between $54.47 and $498.95 per claim for this code.

90% bill between $20.68 and $659.79.

Top 1% bill above $824.82.

About This Procedure

HCPCS code M0244 was billed by 42 providers across 3K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$173.14

Providers Billing

35

National Spending

$1.3M

Avg/Median Ratio

1.59×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for M0244

#ProviderTotal Paid
11588298053$630K
21952962169$170K
31487877593$129K
41932342276$111K
51124056296$53K
61922185248$49K
71871105288$24K
81780022855$19K
91437794427$18K
101871955807$17K
111912575572$11K
121598877268$11K
13New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$11K
14New York City Health And Hospitals Corporation

Bronx, NY · Internal Medicine

$9K
151063669562$9K
161598257503$7K
17Jersey City Medical Center

Jersey City, NJ · General Acute Care Hospital

$7K
181689600975$6K
19Clara Maass Medical Center

Belleville, NJ · General Acute Care Hospital

$6K
201851805022$5K

Showing top 20 of 42 providers billing this code