43753
HCPCS Procedure Code
HCPCS code 43753 is the #8,869 most-billed Medicaid procedure code, with $923 in payments across 223 claims from 2018–2024. The national median cost per claim is $4.43. Costs vary widely — the 90th percentile is $27.02 per claim, 6.1× the median.
Total Paid
$923
0.00% of all spending
Total Claims
223
Providers
3
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 43753? Based on 3 providers billing this code nationally.
Median
$4.43
Average
$12.64
Std Dev
$17.44
Max
$32.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.63 and $18.55 per claim for this code.
90% bill between $1.55 and $27.02.
Top 1% bill above $32.10.
About This Procedure
HCPCS code 43753 was billed by 3 providers across 223 claims, totaling $923 in Medicaid payments from 2018–2024. This code was used for 221 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.43
Providers Billing
3
National Spending
$923
Avg/Median Ratio
2.85×
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.