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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235431453 | $1.1M |
| 2 | 1700926987 | $817K |
| 3 | 1891971297 | $787K |
| 4 | 1508911348 | $638K |
| 5 | 1134322076 | $483K |
Showing top 5 of 5 providers billing this code