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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780727636 | $271K |
| 2 | 1821141441 | $33K |
| 3 | 1558475459 | $22K |
| 4 | 1003893223 | $12K |
| 5 | 1245276765 | $7K |
| 6 | 1386624815 | $5K |
| 7 | 1861449407 | $3K |
| 8 | 1700816733 | $3K |
| 9 | 1972549491 | $2K |
| 10 | 1922088376 | $148 |
Showing top 10 of 10 providers billing this code