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

#3332 of 11K

G0160

HCPCS Procedure Code

HCPCS code G0160 is the #3,332 most-billed Medicaid procedure code, with $1.9M in payments across 16K claims from 2018–2024. The national median cost per claim is $95.10.

Total Paid

$1.9M

0.00% of all spending

Total Claims

16K

Providers

13

Avg Cost/Claim

$116

National Cost Distribution

How much do providers bill per claim for G0160? Based on 2 providers billing this code nationally.

Median

$95.10

Average

$95.10

Std Dev

$56.17

Max

$134.82

Percentile Distribution (Cost per Claim)

p10
$63.33
p25
$75.24
Median
$95.10
p75
$114.96
p90
$126.88
p95
$130.85
p99
$134.03

50% of providers bill between $75.24 and $114.96 per claim for this code.

90% bill between $63.33 and $126.88.

Top 1% bill above $134.03.

About This Procedure

HCPCS code G0160 was billed by 13 providers across 16K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 4,663 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.10

Providers Billing

2

National Spending

$1.9M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for G0160

#ProviderTotal Paid
11457772535$1.9M
21194099127$720
31477940047$0
41528011707$0
51164036968$0
61467870543$0
71063606572$0
81992275184$0
91912902610$0
101699048223$0
111508809526$0
121730472333$0
131790824316$0

Showing top 13 of 13 providers billing this code