43273
HCPCS Procedure Code
HCPCS code 43273 is the #6,123 most-billed Medicaid procedure code, with $93K in payments across 1K claims from 2018–2024. The national median cost per claim is $62.07.
Total Paid
$93K
0.00% of all spending
Total Claims
1K
Providers
12
Avg Cost/Claim
$65
National Cost Distribution
How much do providers bill per claim for 43273? Based on 11 providers billing this code nationally.
Median
$62.07
Average
$111.15
Std Dev
$175.59
Max
$635.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $57.18 and $78.18 per claim for this code.
90% bill between $27.91 and $93.83.
Top 1% bill above $580.94.
About This Procedure
HCPCS code 43273 was billed by 12 providers across 1K claims, totaling $93K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$62.07
Providers Billing
11
National Spending
$93K
Avg/Median Ratio
1.79×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 43273
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1275833915 | $39K |
| 2 | 1326140153 | $20K |
| 3 | 1023112117 | $11K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $10K |
| 5 | Presbyterian Healthcare Services Albuquerque, NM · Surgery | $7K |
| 6 | 1154660298 | $2K |
| 7 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $2K |
| 8 | 1477655298 | $928 |
| 9 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $760 |
| 10 | 1962175836 | $726 |
| 11 | Mainehealth Portland, ME · Emergency Medicine | $73 |
| 12 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $0 |
Showing top 12 of 12 providers billing this code