A0160
HCPCS Procedure Code
HCPCS code A0160 is the #1,020 most-billed Medicaid procedure code, with $47.5M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $12.60. Costs vary widely — the 90th percentile is $54.43 per claim, 4.3× the median.
Total Paid
$47.5M
0.00% of all spending
Total Claims
1.7M
Providers
371
Avg Cost/Claim
$28
National Cost Distribution
How much do providers bill per claim for A0160? Based on 346 providers billing this code nationally.
Median
$12.60
Average
$27.66
Std Dev
$45.01
Max
$322.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $6.70 and $27.06 per claim for this code.
90% bill between $2.51 and $54.43.
Top 1% bill above $230.39.
About This Procedure
HCPCS code A0160 was billed by 371 providers across 1.7M claims, totaling $47.5M in Medicaid payments from 2018–2024. This code was used for 517K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.60
Providers Billing
346
National Spending
$47.5M
Avg/Median Ratio
2.20×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for A0160
| # | Provider | Total Paid |
|---|---|---|
| 1 | Public Partnerships Llc Alpharetta, GA · Supports Brokerage | $9.7M |
| 2 | Rem Community Options Inc. Benwood, WV · Community/Behavioral Health | $2.3M |
| 3 | Diversified Assessment & Therapy Services Kenova, WV · Community/Behavioral Health | $1.9M |
| 4 | Autism Service Center Huntington, WV · Clinic/Center Developmental Disabilities | $1.4M |
| 5 | 1164614301 | $1.4M |
| 6 | 1720273170 | $1.4M |
| 7 | 1518953652 | $1.3M |
| 8 | Central West Virginia Aging Services Inc (Hmkr) Buckhannon, WV · Home Health | $1.2M |
| 9 | Rscr West Virginia Inc. Parkersburg, WV · Clinic/Center Developmental Disabilities | $1.2M |
| 10 | Voca Corporation Of West Virginia Inc. Princeton, WV · Clinic/Center Developmental Disabilities | $1.1M |
| 11 | 1366656225 | $1.1M |
| 12 | 1134126147 | $943K |
| 13 | 1649475914 | $912K |
| 14 | West Virginia's Choice Morgantown, WV · Home Health | $862K |
| 15 | Linx Community Service Llc Williamstown, WV · Community Based Residential Treatment Facility Intellectual and/or Developmental Disabilities | $708K |
| 16 | 1457497000 | $688K |
| 17 | 1265727291 | $652K |
| 18 | 1013327048 | $581K |
| 19 | 1366600439 | $570K |
| 20 | Eastern Panhandle Mental Health Center (Waiver) Martinsburg, WV · Community/Behavioral Health | $516K |
Showing top 20 of 371 providers billing this code