M0198
HCPCS Procedure Code
HCPCS code M0198 is the #7,010 most-billed Medicaid procedure code, with $32K in payments across 103 claims from 2018–2024. The national median cost per claim is $278.33.
Total Paid
$32K
0.00% of all spending
Total Claims
103
Providers
3
Avg Cost/Claim
$310
National Cost Distribution
How much do providers bill per claim for M0198? Based on 3 providers billing this code nationally.
Median
$278.33
Average
$273.58
Std Dev
$63.80
Max
$334.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $242.93 and $306.60 per claim for this code.
90% bill between $221.69 and $323.56.
Top 1% bill above $333.74.
About This Procedure
HCPCS code M0198 was billed by 3 providers across 103 claims, totaling $32K in Medicaid payments from 2018–2024. This code was used for 97 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$278.33
Providers Billing
3
National Spending
$32K
Avg/Median Ratio
0.98×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.