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#4626 of 11K

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)

p10
$25.87
p25
$29.56
Median
$35.71
p75
$62.03
p90
$77.83
p95
$83.09
p99
$87.30

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.