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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1053354233 | $509K |
| 2 | 1558314427 | $191K |
| 3 | 1972126209 | $154K |
| 4 | 1558391763 | $113K |
| 5 | 1093767766 | $89K |
| 6 | 1225016926 | $84K |
| 7 | 1467111005 | $78K |
| 8 | 1346267267 | $73K |
| 9 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $72K |
| 10 | 1922562339 | $63K |
| 11 | 1487609475 | $56K |
| 12 | 1407821796 | $55K |
| 13 | 1669581997 | $55K |
| 14 | 1609501949 | $54K |
| 15 | 1356940670 | $54K |
| 16 | 1497797153 | $43K |
| 17 | 1740436773 | $39K |
| 18 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $33K |
| 19 | 1427093863 | $31K |
| 20 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $30K |
Showing top 20 of 118 providers billing this code