43653
HCPCS Procedure Code
HCPCS code 43653 is the #7,348 most-billed Medicaid procedure code, with $20K in payments across 65 claims from 2018–2024. The national median cost per claim is $325.82.
Total Paid
$20K
0.00% of all spending
Total Claims
65
Providers
3
Avg Cost/Claim
$311
National Cost Distribution
How much do providers bill per claim for 43653? Based on 3 providers billing this code nationally.
Median
$325.82
Average
$309.52
Std Dev
$35.44
Max
$333.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $297.34 and $329.85 per claim for this code.
90% bill between $280.25 and $332.26.
Top 1% bill above $333.71.
About This Procedure
HCPCS code 43653 was billed by 3 providers across 65 claims, totaling $20K in Medicaid payments from 2018–2024. This code was used for 55 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$325.82
Providers Billing
3
National Spending
$20K
Avg/Median Ratio
0.95×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.