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#5964 of 11K

88160

HCPCS Procedure Code

HCPCS code 88160 is the #5,964 most-billed Medicaid procedure code, with $114K in payments across 4K claims from 2018–2024. The national median cost per claim is $18.58. Costs vary widely — the 90th percentile is $47.32 per claim, 2.5× the median.

Total Paid

$114K

0.00% of all spending

Total Claims

4K

Providers

25

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 88160? Based on 23 providers billing this code nationally.

Median

$18.58

Average

$21.93

Std Dev

$19.80

Max

$85.05

Percentile Distribution (Cost per Claim)

p10
$3.34
p25
$9.99
Median
$18.58
p75
$28.39
p90
$47.32
p95
$50.41
p99
$77.45

50% of providers bill between $9.99 and $28.39 per claim for this code.

90% bill between $3.34 and $47.32.

Top 1% bill above $77.45.

About This Procedure

HCPCS code 88160 was billed by 25 providers across 4K claims, totaling $114K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.58

Providers Billing

23

National Spending

$114K

Avg/Median Ratio

1.18×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88160

#ProviderTotal Paid
11780677039$32K
2Chca Bayshore Lp

Pasadena, TX · Clinic/Center, Ambulatory Surgical

$22K
31700886322$13K
41780669200$9K
51962685933$8K
61710959457$7K
71164080529$7K
8Mount Sinai Hospital

New York, NY · Ambulance

$5K
91689009854$4K
101881736650$2K
111013924372$2K
121528080934$885
131659312825$847
141922341445$675
151164512851$567
161538143060$385
171043275787$289
181326389826$158
191407887003$92
201366082166$75

Showing top 20 of 25 providers billing this code