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#7894 of 11K

13160

HCPCS Procedure Code

HCPCS code 13160 is the #7,894 most-billed Medicaid procedure code, with $9K in payments across 59 claims from 2018–2024. The national median cost per claim is $123.04.

Total Paid

$9K

0.00% of all spending

Total Claims

59

Providers

2

Avg Cost/Claim

$145

National Cost Distribution

How much do providers bill per claim for 13160? Based on 2 providers billing this code nationally.

Median

$123.04

Average

$123.04

Std Dev

$68.47

Max

$171.45

Percentile Distribution (Cost per Claim)

p10
$84.31
p25
$98.83
Median
$123.04
p75
$147.24
p90
$161.77
p95
$166.61
p99
$170.48

50% of providers bill between $98.83 and $147.24 per claim for this code.

90% bill between $84.31 and $161.77.

Top 1% bill above $170.48.

About This Procedure

HCPCS code 13160 was billed by 2 providers across 59 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 49 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$123.04

Providers Billing

2

National Spending

$9K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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