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#6162 of 11K

43761

HCPCS Procedure Code

HCPCS code 43761 is the #6,162 most-billed Medicaid procedure code, with $89K in payments across 1,565 claims from 2018–2024. The national median cost per claim is $56.86.

Total Paid

$89K

0.00% of all spending

Total Claims

1,565

Providers

1

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for 43761? Based on 1 providers billing this code nationally.

Median

$56.86

Average

$56.86

Std Dev

Max

$56.86

Percentile Distribution (Cost per Claim)

p10
$56.86
p25
$56.86
Median
$56.86
p75
$56.86
p90
$56.86
p95
$56.86
p99
$56.86

50% of providers bill between $56.86 and $56.86 per claim for this code.

90% bill between $56.86 and $56.86.

Top 1% bill above $56.86.

About This Procedure

HCPCS code 43761 was billed by 1 providers across 1,565 claims, totaling $89K in Medicaid payments from 2018–2024. This code was used for 999 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.86

Providers Billing

1

National Spending

$89K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.