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#3776 of 11K

12160

HCPCS Procedure Code

HCPCS code 12160 is the #3,776 most-billed Medicaid procedure code, with $1.2M in payments across 1,367 claims from 2018–2024. The national median cost per claim is $868.96.

Total Paid

$1.2M

0.00% of all spending

Total Claims

1,367

Providers

1

Avg Cost/Claim

$869

National Cost Distribution

How much do providers bill per claim for 12160? Based on 1 providers billing this code nationally.

Median

$868.96

Average

$868.96

Std Dev

Max

$868.96

Percentile Distribution (Cost per Claim)

p10
$868.96
p25
$868.96
Median
$868.96
p75
$868.96
p90
$868.96
p95
$868.96
p99
$868.96

50% of providers bill between $868.96 and $868.96 per claim for this code.

90% bill between $868.96 and $868.96.

Top 1% bill above $868.96.

About This Procedure

HCPCS code 12160 was billed by 1 providers across 1,367 claims, totaling $1.2M in Medicaid payments from 2018–2024. This code was used for 1,367 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$868.96

Providers Billing

1

National Spending

$1.2M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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