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#5264 of 11K

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)

p10
$197.01
p25
$213.00
Median
$239.65
p75
$239.93
p90
$240.11
p95
$240.16
p99
$240.21

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.