88160
HCPCS Procedure Code
HCPCS code 88160 is the #5,964 most-billed Medicaid procedure code, with $114K in payments across 4K claims from 2018–2024. The national median cost per claim is $18.58. Costs vary widely — the 90th percentile is $47.32 per claim, 2.5× the median.
Total Paid
$114K
0.00% of all spending
Total Claims
4K
Providers
25
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 88160? Based on 23 providers billing this code nationally.
Median
$18.58
Average
$21.93
Std Dev
$19.80
Max
$85.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.99 and $28.39 per claim for this code.
90% bill between $3.34 and $47.32.
Top 1% bill above $77.45.
About This Procedure
HCPCS code 88160 was billed by 25 providers across 4K claims, totaling $114K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.58
Providers Billing
23
National Spending
$114K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88160
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780677039 | $32K |
| 2 | Chca Bayshore Lp Pasadena, TX · Clinic/Center, Ambulatory Surgical | $22K |
| 3 | 1700886322 | $13K |
| 4 | 1780669200 | $9K |
| 5 | 1962685933 | $8K |
| 6 | 1710959457 | $7K |
| 7 | 1164080529 | $7K |
| 8 | Mount Sinai Hospital New York, NY · Ambulance | $5K |
| 9 | 1689009854 | $4K |
| 10 | 1881736650 | $2K |
| 11 | 1013924372 | $2K |
| 12 | 1528080934 | $885 |
| 13 | 1659312825 | $847 |
| 14 | 1922341445 | $675 |
| 15 | 1164512851 | $567 |
| 16 | 1538143060 | $385 |
| 17 | 1043275787 | $289 |
| 18 | 1326389826 | $158 |
| 19 | 1407887003 | $92 |
| 20 | 1366082166 | $75 |
Showing top 20 of 25 providers billing this code