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#7096 of 11K

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)

p10
$94.36
p25
$107.92
Median
$109.85
p75
$123.57
p90
$147.85
p95
$157.84
p99
$165.82

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

#ProviderTotal Paid
11306073994$11K
21366694747$7K
31629242698$6K
41023112117$2K
51831218627$2K
61609804541$974

Showing top 6 of 6 providers billing this code