Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#6728 of 11K

84160

HCPCS Procedure Code

HCPCS code 84160 is the #6,728 most-billed Medicaid procedure code, with $46K in payments across 17K claims from 2018–2024. The national median cost per claim is $1.94. Costs vary widely — the 90th percentile is $6.52 per claim, 3.4× the median.

Total Paid

$46K

0.00% of all spending

Total Claims

17K

Providers

44

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for 84160? Based on 39 providers billing this code nationally.

Median

$1.94

Average

$3.23

Std Dev

$2.57

Max

$10.35

Percentile Distribution (Cost per Claim)

p10
$0.65
p25
$1.12
Median
$1.94
p75
$5.06
p90
$6.52
p95
$7.26
p99
$9.94

50% of providers bill between $1.12 and $5.06 per claim for this code.

90% bill between $0.65 and $6.52.

Top 1% bill above $9.94.

About This Procedure

HCPCS code 84160 was billed by 44 providers across 17K claims, totaling $46K in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1.94

Providers Billing

39

National Spending

$46K

Avg/Median Ratio

1.66×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 84160

#ProviderTotal Paid
11871656082$8K
21457354656$7K
31124060843$6K
41780797365$3K
51316394638$3K
61609984889$3K
71548370745$2K
81932130515$2K
91285805119$2K
101669430773$1K
11University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$1K
12Mary Imogene Bassett Hospital

Cooperstown, NY · General Acute Care Hospital, Rural

$1K
13Reading Hospital

West Reading, PA · Surgery

$922
141689653487$907
151376548271$646
161821091067$578
171932102167$521
181942244645$377
191730582594$354
20Owensboro Health Inc

Owensboro, KY · General Acute Care Hospital

$288

Showing top 20 of 44 providers billing this code