X0616
HCPCS Procedure Code
HCPCS code X0616 is the #3,969 most-billed Medicaid procedure code, with $971K in payments across 4,892 claims from 2018–2024. The national median cost per claim is $182.02.
Total Paid
$971K
0.00% of all spending
Total Claims
4,892
Providers
14
Avg Cost/Claim
$198
National Cost Distribution
How much do providers bill per claim for X0616? Based on 14 providers billing this code nationally.
Median
$182.02
Average
$189.34
Std Dev
$23.91
Max
$254.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $176.81 and $200.12 per claim for this code.
90% bill between $173.61 and $208.84.
Top 1% bill above $249.00.
About This Procedure
HCPCS code X0616 was billed by 14 providers across 4,892 claims, totaling $971K in Medicaid payments from 2018–2024. This code was used for 4,816 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$182.02
Providers Billing
14
National Spending
$971K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for X0616
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356334510 | $264K |
| 2 | 1942276423 | $200K |
| 3 | 1396194197 | $120K |
| 4 | 1235215427 | $97K |
| 5 | 1548293954 | $76K |
| 6 | 1013933175 | $59K |
| 7 | 1497050470 | $42K |
| 8 | 1922860360 | $32K |
| 9 | Upmc Presbyterian Shadyside Pittsburgh, PA · Clinic/Center | $31K |
| 10 | 1952399933 | $25K |
| 11 | 1073047981 | $13K |
| 12 | 1275620585 | $7K |
| 13 | 1316692585 | $3K |
| 14 | 1457650343 | $2K |
Showing top 14 of 14 providers billing this code