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#4908 of 11K

43453

HCPCS Procedure Code

HCPCS code 43453 is the #4,908 most-billed Medicaid procedure code, with $358K in payments across 4K claims from 2018–2024. The national median cost per claim is $114.39.

Total Paid

$358K

0.00% of all spending

Total Claims

4K

Providers

10

Avg Cost/Claim

$100

National Cost Distribution

How much do providers bill per claim for 43453? Based on 10 providers billing this code nationally.

Median

$114.39

Average

$120.86

Std Dev

$109.51

Max

$361.85

Percentile Distribution (Cost per Claim)

p10
$15.49
p25
$29.62
Median
$114.39
p75
$169.63
p90
$214.60
p95
$288.22
p99
$347.12

50% of providers bill between $29.62 and $169.63 per claim for this code.

90% bill between $15.49 and $214.60.

Top 1% bill above $347.12.

About This Procedure

HCPCS code 43453 was billed by 10 providers across 4K claims, totaling $358K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$114.39

Providers Billing

10

National Spending

$358K

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 43453

#ProviderTotal Paid
11780727636$271K
21821141441$33K
31558475459$22K
41003893223$12K
51245276765$7K
61386624815$5K
71861449407$3K
81700816733$3K
91972549491$2K
101922088376$148

Showing top 10 of 10 providers billing this code

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