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#7335 of 11K

M0317

HCPCS Procedure Code

HCPCS code M0317 is the #7,335 most-billed Medicaid procedure code, with $21K in payments across 248 claims from 2018–2024. The national median cost per claim is $90.35.

Total Paid

$21K

0.00% of all spending

Total Claims

248

Providers

4

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for M0317? Based on 4 providers billing this code nationally.

Median

$90.35

Average

$90.58

Std Dev

$17.18

Max

$106.09

Percentile Distribution (Cost per Claim)

p10
$75.64
p25
$75.79
Median
$90.35
p75
$105.14
p90
$105.71
p95
$105.90
p99
$106.05

50% of providers bill between $75.79 and $105.14 per claim for this code.

90% bill between $75.64 and $105.71.

Top 1% bill above $106.05.

About This Procedure

HCPCS code M0317 was billed by 4 providers across 248 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 242 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.35

Providers Billing

4

National Spending

$21K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

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