43276
HCPCS Procedure Code
HCPCS code 43276 is the #4,909 most-billed Medicaid procedure code, with $357K in payments across 272 claims from 2018–2024. The national median cost per claim is $234.70. Costs vary widely — the 90th percentile is $1,943.69 per claim, 8.3× the median.
Total Paid
$357K
0.00% of all spending
Total Claims
272
Providers
5
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 43276? Based on 5 providers billing this code nationally.
Median
$234.70
Average
$820.22
Std Dev
$1,082.52
Max
$2,695.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $190.05 and $815.35 per claim for this code.
90% bill between $175.07 and $1,943.69.
Top 1% bill above $2,620.70.
About This Procedure
HCPCS code 43276 was billed by 5 providers across 272 claims, totaling $357K in Medicaid payments from 2018–2024. This code was used for 196 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$234.70
Providers Billing
5
National Spending
$357K
Avg/Median Ratio
3.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 43276
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $318K |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $14K |
| 3 | 1417902925 | $10K |
| 4 | Yale University New Haven, CT · Internal Medicine | $10K |
| 5 | 1801827639 | $5K |
Showing top 5 of 5 providers billing this code