Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7917 of 11K

M0540

HCPCS Procedure Code

HCPCS code M0540 is the #7,917 most-billed Medicaid procedure code, with $8K in payments across 8K claims from 2018–2024. The national median cost per claim is $0.99.

Total Paid

$8K

0.00% of all spending

Total Claims

8K

Providers

1

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for M0540? Based on 1 providers billing this code nationally.

Median

$0.99

Average

$0.99

Std Dev

Max

$0.99

Percentile Distribution (Cost per Claim)

p10
$0.99
p25
$0.99
Median
$0.99
p75
$0.99
p90
$0.99
p95
$0.99
p99
$0.99

50% of providers bill between $0.99 and $0.99 per claim for this code.

90% bill between $0.99 and $0.99.

Top 1% bill above $0.99.

About This Procedure

HCPCS code M0540 was billed by 1 providers across 8K claims, totaling $8K in Medicaid payments from 2018–2024. This code was used for 854 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.99

Providers Billing

1

National Spending

$8K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.