01160
HCPCS Procedure Code
HCPCS code 01160 is the #5,791 most-billed Medicaid procedure code, with $137K in payments across 2,829 claims from 2018–2024. The national median cost per claim is $50.97. Costs vary widely — the 90th percentile is $101.98 per claim, 2.0× the median.
Total Paid
$137K
0.00% of all spending
Total Claims
2,829
Providers
15
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 01160? Based on 14 providers billing this code nationally.
Median
$50.97
Average
$55.01
Std Dev
$31.52
Max
$126.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $37.64 and $56.37 per claim for this code.
90% bill between $26.74 and $101.98.
Top 1% bill above $125.25.
About This Procedure
HCPCS code 01160 was billed by 15 providers across 2,829 claims, totaling $137K in Medicaid payments from 2018–2024. This code was used for 2,366 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.97
Providers Billing
14
National Spending
$137K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 01160
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063880052 | $74K |
| 2 | 1265435416 | $13K |
| 3 | 1952775975 | $13K |
| 4 | 1790920452 | $12K |
| 5 | 1336528926 | $11K |
| 6 | 1396798773 | $3K |
| 7 | 1245623834 | $2K |
| 8 | 1871650739 | $2K |
| 9 | 1255710265 | $2K |
| 10 | 1629544622 | $2K |
| 11 | 1346706173 | $1K |
| 12 | 1336358571 | $929 |
| 13 | 1134478209 | $549 |
| 14 | 1285253252 | $472 |
| 15 | 1740610039 | $0 |
Showing top 15 of 15 providers billing this code