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#5770 of 11K

M0192

HCPCS Procedure Code

HCPCS code M0192 is the #5,770 most-billed Medicaid procedure code, with $141K in payments across 1K claims from 2018–2024. The national median cost per claim is $113.09.

Total Paid

$141K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$114

National Cost Distribution

How much do providers bill per claim for M0192? Based on 2 providers billing this code nationally.

Median

$113.09

Average

$113.09

Std Dev

$6.92

Max

$117.98

Percentile Distribution (Cost per Claim)

p10
$109.17
p25
$110.64
Median
$113.09
p75
$115.54
p90
$117.00
p95
$117.49
p99
$117.88

50% of providers bill between $110.64 and $115.54 per claim for this code.

90% bill between $109.17 and $117.00.

Top 1% bill above $117.88.

About This Procedure

HCPCS code M0192 was billed by 2 providers across 1K claims, totaling $141K in Medicaid payments from 2018–2024. This code was used for 410 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$113.09

Providers Billing

2

National Spending

$141K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.