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#3187 of 11K

00160

HCPCS Procedure Code

HCPCS code 00160 is the #3,187 most-billed Medicaid procedure code, with $2.3M in payments across 22K claims from 2018–2024. The national median cost per claim is $82.31. Costs vary widely — the 90th percentile is $303.70 per claim, 3.7× the median.

Total Paid

$2.3M

0.00% of all spending

Total Claims

22K

Providers

118

Avg Cost/Claim

$105

National Cost Distribution

How much do providers bill per claim for 00160? Based on 100 providers billing this code nationally.

Median

$82.31

Average

$115.96

Std Dev

$98.58

Max

$459.57

Percentile Distribution (Cost per Claim)

p10
$40.03
p25
$56.35
Median
$82.31
p75
$132.39
p90
$303.70
p95
$347.40
p99
$399.10

50% of providers bill between $56.35 and $132.39 per claim for this code.

90% bill between $40.03 and $303.70.

Top 1% bill above $399.10.

About This Procedure

HCPCS code 00160 was billed by 118 providers across 22K claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.31

Providers Billing

100

National Spending

$2.3M

Avg/Median Ratio

1.41×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 00160

#ProviderTotal Paid
11053354233$509K
21558314427$191K
31972126209$154K
41558391763$113K
51093767766$89K
61225016926$84K
71467111005$78K
81346267267$73K
9Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$72K
101922562339$63K
111487609475$56K
121407821796$55K
131669581997$55K
141609501949$54K
151356940670$54K
161497797153$43K
171740436773$39K
18West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$33K
191427093863$31K
20Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$30K

Showing top 20 of 118 providers billing this code