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#2765 of 11K

M0169

HCPCS Procedure Code

HCPCS code M0169 is the #2,765 most-billed Medicaid procedure code, with $3.8M in payments across 22K claims from 2018–2024. The national median cost per claim is $165.94.

Total Paid

$3.8M

0.00% of all spending

Total Claims

22K

Providers

5

Avg Cost/Claim

$169

National Cost Distribution

How much do providers bill per claim for M0169? Based on 5 providers billing this code nationally.

Median

$165.94

Average

$169.64

Std Dev

$6.16

Max

$177.38

Percentile Distribution (Cost per Claim)

p10
$164.68
p25
$165.69
Median
$165.94
p75
$175.18
p90
$176.50
p95
$176.94
p99
$177.29

50% of providers bill between $165.69 and $175.18 per claim for this code.

90% bill between $164.68 and $176.50.

Top 1% bill above $177.29.

About This Procedure

HCPCS code M0169 was billed by 5 providers across 22K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 897 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$165.94

Providers Billing

5

National Spending

$3.8M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for M0169

#ProviderTotal Paid
11235431453$1.1M
21700926987$817K
31891971297$787K
41508911348$638K
51134322076$483K

Showing top 5 of 5 providers billing this code