16030
HCPCS Procedure Code
HCPCS code 16030 is the #7,024 most-billed Medicaid procedure code, with $31K in payments across 128 claims from 2018–2024. The national median cost per claim is $167.70. Costs vary widely — the 90th percentile is $349.84 per claim, 2.1× the median.
Total Paid
$31K
0.00% of all spending
Total Claims
128
Providers
3
Avg Cost/Claim
$242
National Cost Distribution
How much do providers bill per claim for 16030? Based on 3 providers billing this code nationally.
Median
$167.70
Average
$221.86
Std Dev
$153.76
Max
$395.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $135.11 and $281.54 per claim for this code.
90% bill between $115.55 and $349.84.
Top 1% bill above $390.82.
About This Procedure
HCPCS code 16030 was billed by 3 providers across 128 claims, totaling $31K in Medicaid payments from 2018–2024. This code was used for 90 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$167.70
Providers Billing
3
National Spending
$31K
Avg/Median Ratio
1.32×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.