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#7536 of 11K

M0316

HCPCS Procedure Code

HCPCS code M0316 is the #7,536 most-billed Medicaid procedure code, with $15K in payments across 352 claims from 2018–2024. The national median cost per claim is $44.12.

Total Paid

$15K

0.00% of all spending

Total Claims

352

Providers

4

Avg Cost/Claim

$43

National Cost Distribution

How much do providers bill per claim for M0316? Based on 4 providers billing this code nationally.

Median

$44.12

Average

$43.61

Std Dev

$4.09

Max

$47.74

Percentile Distribution (Cost per Claim)

p10
$39.63
p25
$41.38
Median
$44.12
p75
$46.35
p90
$47.18
p95
$47.46
p99
$47.68

50% of providers bill between $41.38 and $46.35 per claim for this code.

90% bill between $39.63 and $47.18.

Top 1% bill above $47.68.

About This Procedure

HCPCS code M0316 was billed by 4 providers across 352 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 338 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.12

Providers Billing

4

National Spending

$15K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.