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#6549 of 11K

M0359

HCPCS Procedure Code

HCPCS code M0359 is the #6,549 most-billed Medicaid procedure code, with $56K in payments across 363 claims from 2018–2024. The national median cost per claim is $154.79.

Total Paid

$56K

0.00% of all spending

Total Claims

363

Providers

2

Avg Cost/Claim

$155

National Cost Distribution

How much do providers bill per claim for M0359? Based on 2 providers billing this code nationally.

Median

$154.79

Average

$154.79

Std Dev

Max

$154.79

Percentile Distribution (Cost per Claim)

p10
$154.79
p25
$154.79
Median
$154.79
p75
$154.79
p90
$154.79
p95
$154.79
p99
$154.79

50% of providers bill between $154.79 and $154.79 per claim for this code.

90% bill between $154.79 and $154.79.

Top 1% bill above $154.79.

About This Procedure

HCPCS code M0359 was billed by 2 providers across 363 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 363 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$154.79

Providers Billing

2

National Spending

$56K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.