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#8249 of 11K

M0321

HCPCS Procedure Code

HCPCS code M0321 is the #8,249 most-billed Medicaid procedure code, with $5K in payments across 167 claims from 2018–2024. The national median cost per claim is $24.16.

Total Paid

$5K

0.00% of all spending

Total Claims

167

Providers

3

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for M0321? Based on 3 providers billing this code nationally.

Median

$24.16

Average

$24.59

Std Dev

$5.60

Max

$30.39

Percentile Distribution (Cost per Claim)

p10
$20.21
p25
$21.69
Median
$24.16
p75
$27.27
p90
$29.14
p95
$29.76
p99
$30.26

50% of providers bill between $21.69 and $27.27 per claim for this code.

90% bill between $20.21 and $29.14.

Top 1% bill above $30.26.

About This Procedure

HCPCS code M0321 was billed by 3 providers across 167 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 161 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$24.16

Providers Billing

3

National Spending

$5K

Avg/Median Ratio

1.02×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.