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)
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.