M0240
HCPCS Procedure Code
HCPCS code M0240 is the #2,245 most-billed Medicaid procedure code, with $7.5M in payments across 79K claims from 2018–2024. The national median cost per claim is $141.71.
Total Paid
$7.5M
0.00% of all spending
Total Claims
79K
Providers
44
Avg Cost/Claim
$95
National Cost Distribution
How much do providers bill per claim for M0240? Based on 41 providers billing this code nationally.
Median
$141.71
Average
$155.05
Std Dev
$93.78
Max
$453.88
Percentile Distribution (Cost per Claim)
50% of providers bill between $108.20 and $156.95 per claim for this code.
90% bill between $84.80 and $278.35.
Top 1% bill above $443.53.
About This Procedure
HCPCS code M0240 was billed by 44 providers across 79K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$141.71
Providers Billing
41
National Spending
$7.5M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for M0240
| # | Provider | Total Paid |
|---|---|---|
| 1 | Berry Family Services Rowlett, TX · Case Management | $1.2M |
| 2 | Lifetime Living Inc. San Antonio, TX · Case Management | $774K |
| 3 | Wellness Healthcare Solutions Inc. Desoto, TX · Day Training, Developmentally Disabled Services | $694K |
| 4 | 1659516433 | $393K |
| 5 | 1437215415 | $373K |
| 6 | Texana Center Rosenberg, TX · Counselor, Mental Health | $366K |
| 7 | 1215370747 | $328K |
| 8 | 1003974999 | $327K |
| 9 | 1982867289 | $301K |
| 10 | 1437278868 | $292K |
| 11 | 1518062520 | $264K |
| 12 | 1740426394 | $250K |
| 13 | 1598084774 | $224K |
| 14 | 1164700365 | $220K |
| 15 | 1629138144 | $219K |
| 16 | 1023239886 | $210K |
| 17 | 1265528798 | $169K |
| 18 | 1417158817 | $166K |
| 19 | 1316112378 | $137K |
| 20 | 1417011396 | $83K |
Showing top 20 of 44 providers billing this code