43763
HCPCS Procedure Code
HCPCS code 43763 is the #4,626 most-billed Medicaid procedure code, with $480K in payments across 9,428 claims from 2018–2024. The national median cost per claim is $35.71. Costs vary widely — the 90th percentile is $77.83 per claim, 2.2× the median.
Total Paid
$480K
0.00% of all spending
Total Claims
9,428
Providers
3
Avg Cost/Claim
$51
National Cost Distribution
How much do providers bill per claim for 43763? Based on 3 providers billing this code nationally.
Median
$35.71
Average
$49.16
Std Dev
$34.50
Max
$88.35
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.56 and $62.03 per claim for this code.
90% bill between $25.87 and $77.83.
Top 1% bill above $87.30.
About This Procedure
HCPCS code 43763 was billed by 3 providers across 9,428 claims, totaling $480K in Medicaid payments from 2018–2024. This code was used for 7,253 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$35.71
Providers Billing
3
National Spending
$480K
Avg/Median Ratio
1.38×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.