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#5791 of 11K

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)

p10
$26.74
p25
$37.64
Median
$50.97
p75
$56.37
p90
$101.98
p95
$121.61
p99
$125.25

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

#ProviderTotal Paid
11063880052$74K
21265435416$13K
31952775975$13K
41790920452$12K
51336528926$11K
61396798773$3K
71245623834$2K
81871650739$2K
91255710265$2K
101629544622$2K
111346706173$1K
121336358571$929
131134478209$549
141285253252$472
151740610039$0

Showing top 15 of 15 providers billing this code