M0419
HCPCS Procedure Code
HCPCS code M0419 is the #4,146 most-billed Medicaid procedure code, with $806K in payments across 75K claims from 2018–2024. The national median cost per claim is $12.20.
Total Paid
$806K
0.00% of all spending
Total Claims
75K
Providers
18
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for M0419? Based on 16 providers billing this code nationally.
Median
$12.20
Average
$13.00
Std Dev
$6.34
Max
$30.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.71 and $15.11 per claim for this code.
90% bill between $6.96 and $19.51.
Top 1% bill above $28.86.
About This Procedure
HCPCS code M0419 was billed by 18 providers across 75K claims, totaling $806K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.20
Providers Billing
16
National Spending
$806K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0419
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $183K |
| 2 | Texana Center Rosenberg, TX · Counselor, Mental Health | $111K |
| 3 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $92K |
| 4 | 1316016355 | $73K |
| 5 | 1437278868 | $72K |
| 6 | 1912022807 | $55K |
| 7 | 1851595268 | $48K |
| 8 | 1710102330 | $46K |
| 9 | 1942404405 | $41K |
| 10 | 1578698395 | $28K |
| 11 | 1316090186 | $27K |
| 12 | 1417011396 | $20K |
| 13 | 1831393990 | $11K |
| 14 | 1598084774 | $2K |
| 15 | 1861608515 | $2K |
| 16 | 1801940929 | $1K |
| 17 | 1265528798 | -$865 |
| 18 | 1336454461 | -$4K |
Showing top 18 of 18 providers billing this code