M0490
HCPCS Procedure Code
HCPCS code M0490 is the #6,663 most-billed Medicaid procedure code, with $49K in payments across 303 claims from 2018–2024. The national median cost per claim is $159.49.
Total Paid
$49K
0.00% of all spending
Total Claims
303
Providers
3
Avg Cost/Claim
$162
National Cost Distribution
How much do providers bill per claim for M0490? Based on 3 providers billing this code nationally.
Median
$159.49
Average
$162.82
Std Dev
$5.77
Max
$169.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $159.49 and $164.49 per claim for this code.
90% bill between $159.49 and $167.49.
Top 1% bill above $169.29.
About This Procedure
HCPCS code M0490 was billed by 3 providers across 303 claims, totaling $49K in Medicaid payments from 2018–2024. This code was used for 41 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$159.49
Providers Billing
3
National Spending
$49K
Avg/Median Ratio
1.02×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.