43762
HCPCS Procedure Code
HCPCS code 43762 is the #2,242 most-billed Medicaid procedure code, with $7.5M in payments across 62K claims from 2018–2024. The national median cost per claim is $99.73. Costs vary widely — the 90th percentile is $225.44 per claim, 2.3× the median.
Total Paid
$7.5M
0.00% of all spending
Total Claims
62K
Providers
161
Avg Cost/Claim
$122
National Cost Distribution
How much do providers bill per claim for 43762? Based on 159 providers billing this code nationally.
Median
$99.73
Average
$112.00
Std Dev
$89.02
Max
$406.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.39 and $168.59 per claim for this code.
90% bill between $18.36 and $225.44.
Top 1% bill above $343.20.
About This Procedure
HCPCS code 43762 was billed by 161 providers across 62K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.73
Providers Billing
159
National Spending
$7.5M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43762
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $694K |
| 2 | 1790880292 | $592K |
| 3 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $363K |
| 4 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $341K |
| 5 | 1568928588 | $246K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $217K |
| 7 | 1336533041 | $205K |
| 8 | Childrens Hospital Of The Kings Daughters Inc Norfolk, VA · Social Worker, Clinical | $204K |
| 9 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $204K |
| 10 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $188K |
| 11 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $186K |
| 12 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $166K |
| 13 | 1265530653 | $163K |
| 14 | 1124203872 | $159K |
| 15 | 1174582282 | $156K |
| 16 | Vanderbilt University Medical Center Nashville, TN · Transplant Surgery | $152K |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $151K |
| 18 | 1487868097 | $141K |
| 19 | 1306952726 | $132K |
| 20 | 1093090342 | $131K |
Showing top 20 of 161 providers billing this code