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#4746 of 11K

Z0160

HCPCS Procedure Code

HCPCS code Z0160 is the #4,746 most-billed Medicaid procedure code, with $422K in payments across 5,080 claims from 2018–2024. The national median cost per claim is $80.52.

Total Paid

$422K

0.00% of all spending

Total Claims

5,080

Providers

7

Avg Cost/Claim

$83

National Cost Distribution

How much do providers bill per claim for Z0160? Based on 7 providers billing this code nationally.

Median

$80.52

Average

$87.70

Std Dev

$19.96

Max

$115.36

Percentile Distribution (Cost per Claim)

p10
$70.69
p25
$78.00
Median
$80.52
p75
$100.07
p90
$114.78
p95
$115.07
p99
$115.30

50% of providers bill between $78.00 and $100.07 per claim for this code.

90% bill between $70.69 and $114.78.

Top 1% bill above $115.30.

About This Procedure

HCPCS code Z0160 was billed by 7 providers across 5,080 claims, totaling $422K in Medicaid payments from 2018–2024. This code was used for 3,300 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$80.52

Providers Billing

7

National Spending

$422K

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Z0160

#ProviderTotal Paid
11912987132$202K
21912978669$96K
31194796847$56K
41609976893$45K
51003887753$14K
61376858969$5K
71376889717$4K

Showing top 7 of 7 providers billing this code