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#3196 of 11K

1160F

HCPCS Procedure Code

HCPCS code 1160F is the #3,196 most-billed Medicaid procedure code, with $2.2M in payments across 36.2M claims from 2018–2024. The national median cost per claim is $0.01. Costs vary widely — the 90th percentile is $0.69 per claim, 69.0× the median.

Total Paid

$2.2M

0.00% of all spending

Total Claims

36.2M

Providers

11K

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1160F? Based on 2K providers billing this code nationally.

Median

$0.01

Average

$0.71

Std Dev

$6.34

Max

$160.05

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.01
p75
$0.09
p90
$0.69
p95
$1.97
p99
$6.59

50% of providers bill between $0.00 and $0.09 per claim for this code.

90% bill between $0.00 and $0.69.

Top 1% bill above $6.59.

About This Procedure

HCPCS code 1160F was billed by 11K providers across 36.2M claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 30.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.01

Providers Billing

2K

National Spending

$2.2M

Avg/Median Ratio

71.00×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1160F

#ProviderTotal Paid
1Saltzman Tanis Pittell Levin And Jacobson

Hollywood, FL · Pediatrics

$343K
21013042480$310K
3Marillac Clinic Inc.

Grand Junction, CO · Clinic/Center Federally Qualified Health Center (FQHC)

$77K
41902977705$58K
51417076829$51K
61811391717$49K
71518138916$44K
81386191989$44K
91609046267$42K
101679672562$41K
111063969665$41K
121891775128$37K
131609169713$36K
141235259607$35K
151225073166$33K
16Niagara Falls Memorial Medical Center

Niagara Falls, NY · General Acute Care Hospital

$31K
171538441761$29K
181184610248$28K
191780676650$28K
201811061013$25K

Showing top 20 of 11K providers billing this code