M0122
HCPCS Procedure Code
HCPCS code M0122 is the #789 most-billed Medicaid procedure code, with $79.7M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $72.56.
Total Paid
$79.7M
0.01% of all spending
Total Claims
1.1M
Providers
123
Avg Cost/Claim
$73
National Cost Distribution
How much do providers bill per claim for M0122? Based on 123 providers billing this code nationally.
Median
$72.56
Average
$72.56
Std Dev
$0.02
Max
$72.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $72.56 and $72.56 per claim for this code.
90% bill between $72.56 and $72.56.
Top 1% bill above $72.56.
About This Procedure
HCPCS code M0122 was billed by 123 providers across 1.1M claims, totaling $79.7M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$72.56
Providers Billing
123
National Spending
$79.7M
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0122
| # | Provider | Total Paid |
|---|---|---|
| 1 | Daybreak Community Services Texas Llc Fort Worth, TX · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $5.5M |
| 2 | Berry Family Services Rowlett, TX · Case Management | $3.7M |
| 3 | Lifetime Living Inc. San Antonio, TX · Case Management | $2.6M |
| 4 | Texana Center Rosenberg, TX · Counselor, Mental Health | $2.5M |
| 5 | D&s Residential Services, Lp Austin, TX · Intermediate Care Facility, Intellectual Disabilities | $2.3M |
| 6 | St. Giles Living Centers, Inc. Fort Worth, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $1.9M |
| 7 | 1326252214 | $1.8M |
| 8 | Advantage Behavioral Services, Inc. San Antonio, TX · Case Management | $1.6M |
| 9 | 1790860666 | $1.6M |
| 10 | 1295944759 | $1.3M |
| 11 | 1356498745 | $1.3M |
| 12 | 1871794933 | $1.2M |
| 13 | 1710014618 | $1.2M |
| 14 | 1801962295 | $1.1M |
| 15 | 1689727133 | $970K |
| 16 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $970K |
| 17 | 1598974057 | $965K |
| 18 | 1801838461 | $962K |
| 19 | Abiding Choice Inc Rockdale, TX · Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | $934K |
| 20 | 1558400333 | $925K |
Showing top 20 of 123 providers billing this code