#7039 of 11K

70160

HCPCS Procedure Code

HCPCS code 70160 is the #7,039 most-billed Medicaid procedure code, with $31K in payments across 4,235 claims from 2018–2024. The national median cost per claim is $7.36. Costs vary widely — the 90th percentile is $38.95 per claim, 5.3× the median.

Total Paid

$31K

0.00% of all spending

Total Claims

4,235

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 70160? Based on 24 providers billing this code nationally.

Median

$7.36

Average

$16.76

Std Dev

$17.50

Max

$67.15

Percentile Distribution (Cost per Claim)

p10

$4.65

p25

$4.93

Median

$7.36

p75

$23.89

p90

$38.95

p95

$52.62

p99

$64.26

50% of providers bill between $4.93 and $23.89 per claim for this code.

90% bill between $4.65 and $38.95.

Top 1% bill above $64.26.

About This Procedure

HCPCS code 70160 was billed by 25 providers across 4,235 claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 3,785 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.36

Providers Billing

National Spending

$31K

Avg/Median Ratio

2.28×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 70160

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	City Medical Of Upper East Side Pllc New York, NY · Clinic/Center Urgent Care	$7K	$13.57	1.8× median	Above Median
2	1700865094	$6K	$4.63	0.6× median	Below Median
3	1740283324	$5K	$4.90	0.7× median	Below Median
4	1679529978	$3K	$4.94	0.7× median	Below Median
5	Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology	$2K	$14.77	2.0× median	Above Median
6	1487608931	$1K	$4.85	0.7× median	Below Median
7	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$895	$31.95	4.3× median	Above 75th
8	Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine	$806	$67.15	9.1× median	Top 1%
9	1144228446	$655	$54.58	7.4× median	Top 10%
10	1801856786	$650	$17.56	2.4× median	Above Median
11	Hmh Hospitals Corporation Hackensack, NJ · Ambulance	$540	$41.51	5.6× median	Top 10%
12	Southern California Permanente Medical Group Fontana, CA · Health Maintenance Organization	$470	$5.05	0.7× median	Below Median
13	St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital	$429	$32.98	4.5× median	Above 75th
14	1376719666	$357	$6.50	0.9× median	Below Median
15	Norton Hospitals Inc Louisville, KY · General Acute Care Hospital	$338	$28.18	3.8× median	Above 75th
16	Oakwood Healthcare, Inc. Dearborn, MI · General Acute Care Hospital	$292	$22.47	3.1× median	Above Median
17	1811996960	$259	$4.70	0.6× median	Below Median
18	1154367803	$232	$8.60	1.2× median	Above Median
19	1073684817	$123	$7.72	1.0× median	Above Median
20	1437478302	$98	$7.00	1.0× median	Below Median

Showing top 20 of 25 providers billing this code

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