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#8449 of 11K

M1208

HCPCS Procedure Code

HCPCS code M1208 is the #8,449 most-billed Medicaid procedure code, with $3K in payments across 72K claims from 2018–2024. The national median cost per claim is $0.05. Costs vary widely — the 90th percentile is $0.58 per claim, 11.6× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

72K

Providers

119

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for M1208? Based on 11 providers billing this code nationally.

Median

$0.05

Average

$0.17

Std Dev

$0.26

Max

$0.77

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.05
p75
$0.17
p90
$0.58
p95
$0.67
p99
$0.75

50% of providers bill between $0.00 and $0.17 per claim for this code.

90% bill between $0.00 and $0.58.

Top 1% bill above $0.75.

About This Procedure

HCPCS code M1208 was billed by 119 providers across 72K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 58K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.05

Providers Billing

11

National Spending

$3K

Avg/Median Ratio

3.40×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for M1208

#ProviderTotal Paid
11366100364$2K
21245653237$737
31831688365$406
41114432341$70
51134237068$49
6Chinatown True Care Medical Pllc

New York, NY · Family Medicine

$45
71144793464$10
81457987521$1
91750790762$0
101093130742$0
111346746385$0
121558379750$0
131417654724$0
141336815992$0
151952845711$0
161790830701$0
171437311289$0
181619394665$0
191003852070$0
201497963532$0

Showing top 20 of 119 providers billing this code