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#4110 of 11K

M0347

HCPCS Procedure Code

HCPCS code M0347 is the #4,110 most-billed Medicaid procedure code, with $838K in payments across 7K claims from 2018–2024. The national median cost per claim is $35.62. Costs vary widely — the 90th percentile is $112.19 per claim, 3.1× the median.

Total Paid

$838K

0.00% of all spending

Total Claims

7K

Providers

3

Avg Cost/Claim

$123

National Cost Distribution

How much do providers bill per claim for M0347? Based on 3 providers billing this code nationally.

Median

$35.62

Average

$63.26

Std Dev

$59.30

Max

$131.33

Percentile Distribution (Cost per Claim)

p10
$25.39
p25
$29.23
Median
$35.62
p75
$83.48
p90
$112.19
p95
$121.76
p99
$129.42

50% of providers bill between $29.23 and $83.48 per claim for this code.

90% bill between $25.39 and $112.19.

Top 1% bill above $129.42.

About This Procedure

HCPCS code M0347 was billed by 3 providers across 7K claims, totaling $838K in Medicaid payments from 2018–2024. This code was used for 432 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$35.62

Providers Billing

3

National Spending

$838K

Avg/Median Ratio

1.78×

Moderately skewed

Provider Coverage

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

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