43262
HCPCS Procedure Code
HCPCS code 43262 is the #7,096 most-billed Medicaid procedure code, with $28K in payments across 232 claims from 2018–2024. The national median cost per claim is $109.85.
Total Paid
$28K
0.00% of all spending
Total Claims
232
Providers
6
Avg Cost/Claim
$122
National Cost Distribution
How much do providers bill per claim for 43262? Based on 6 providers billing this code nationally.
Median
$109.85
Average
$117.35
Std Dev
$28.90
Max
$167.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $107.92 and $123.57 per claim for this code.
90% bill between $94.36 and $147.85.
Top 1% bill above $165.82.
About This Procedure
HCPCS code 43262 was billed by 6 providers across 232 claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 215 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$109.85
Providers Billing
6
National Spending
$28K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43262
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306073994 | $11K |
| 2 | 1366694747 | $7K |
| 3 | 1629242698 | $6K |
| 4 | 1023112117 | $2K |
| 5 | 1831218627 | $2K |
| 6 | 1609804541 | $974 |
Showing top 6 of 6 providers billing this code