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

#6592 of 11K

M0541

HCPCS Procedure Code

HCPCS code M0541 is the #6,592 most-billed Medicaid procedure code, with $54K in payments across 13K claims from 2018–2024. The national median cost per claim is $7.08.

Total Paid

$54K

0.00% of all spending

Total Claims

13K

Providers

4

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for M0541? Based on 4 providers billing this code nationally.

Median

$7.08

Average

$6.75

Std Dev

$4.19

Max

$10.87

Percentile Distribution (Cost per Claim)

p10
$2.75
p25
$3.93
Median
$7.08
p75
$9.89
p90
$10.48
p95
$10.68
p99
$10.83

50% of providers bill between $3.93 and $9.89 per claim for this code.

90% bill between $2.75 and $10.48.

Top 1% bill above $10.83.

About This Procedure

HCPCS code M0541 was billed by 4 providers across 13K claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.08

Providers Billing

4

National Spending

$54K

Avg/Median Ratio

0.95×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

Related Procedures