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#5987 of 11K

00016

HCPCS Procedure Code

HCPCS code 00016 is the #5,987 most-billed Medicaid procedure code, with $110K in payments across 339 claims from 2018–2024. The national median cost per claim is $323.04.

Total Paid

$110K

0.00% of all spending

Total Claims

339

Providers

1

Avg Cost/Claim

$323

National Cost Distribution

How much do providers bill per claim for 00016? Based on 1 providers billing this code nationally.

Median

$323.04

Average

$323.04

Std Dev

Max

$323.04

Percentile Distribution (Cost per Claim)

p10
$323.04
p25
$323.04
Median
$323.04
p75
$323.04
p90
$323.04
p95
$323.04
p99
$323.04

50% of providers bill between $323.04 and $323.04 per claim for this code.

90% bill between $323.04 and $323.04.

Top 1% bill above $323.04.

About This Procedure

HCPCS code 00016 was billed by 1 providers across 339 claims, totaling $110K in Medicaid payments from 2018–2024. This code was used for 330 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$323.04

Providers Billing

1

National Spending

$110K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.