43752
HCPCS Procedure Code
HCPCS code 43752 is the #6,952 most-billed Medicaid procedure code, with $35K in payments across 1,297 claims from 2018–2024. The national median cost per claim is $68.26. Costs vary widely — the 90th percentile is $370.31 per claim, 5.4× the median.
Total Paid
$35K
0.00% of all spending
Total Claims
1,297
Providers
3
Avg Cost/Claim
$27
National Cost Distribution
How much do providers bill per claim for 43752? Based on 3 providers billing this code nationally.
Median
$68.26
Average
$177.82
Std Dev
$233.37
Max
$445.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $43.83 and $257.04 per claim for this code.
90% bill between $29.17 and $370.31.
Top 1% bill above $438.27.
About This Procedure
HCPCS code 43752 was billed by 3 providers across 1,297 claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 958 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$68.26
Providers Billing
3
National Spending
$35K
Avg/Median Ratio
2.61×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.