W0163
HCPCS Procedure Code
HCPCS code W0163 is the #5,264 most-billed Medicaid procedure code, with $246K in payments across 1,153 claims from 2018–2024. The national median cost per claim is $239.65.
Total Paid
$246K
0.00% of all spending
Total Claims
1,153
Providers
3
Avg Cost/Claim
$213
National Cost Distribution
How much do providers bill per claim for W0163? Based on 3 providers billing this code nationally.
Median
$239.65
Average
$222.07
Std Dev
$30.94
Max
$240.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $213.00 and $239.93 per claim for this code.
90% bill between $197.01 and $240.11.
Top 1% bill above $240.21.
About This Procedure
HCPCS code W0163 was billed by 3 providers across 1,153 claims, totaling $246K in Medicaid payments from 2018–2024. This code was used for 179 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$239.65
Providers Billing
3
National Spending
$246K
Avg/Median Ratio
0.93×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.