43770
HCPCS Procedure Code
HCPCS code 43770 is the #5,291 most-billed Medicaid procedure code, with $239K in payments across 516 claims from 2018–2024. The national median cost per claim is $358.60. Costs vary widely — the 90th percentile is $991.04 per claim, 2.8× the median.
Total Paid
$239K
0.00% of all spending
Total Claims
516
Providers
5
Avg Cost/Claim
$463
National Cost Distribution
How much do providers bill per claim for 43770? Based on 5 providers billing this code nationally.
Median
$358.60
Average
$523.25
Std Dev
$432.33
Max
$1,225.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $197.91 and $638.95 per claim for this code.
90% bill between $196.16 and $991.04.
Top 1% bill above $1,202.30.
About This Procedure
HCPCS code 43770 was billed by 5 providers across 516 claims, totaling $239K in Medicaid payments from 2018–2024. This code was used for 437 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$358.60
Providers Billing
5
National Spending
$239K
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43770
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1609847367 | $111K |
| 2 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $88K |
| 3 | 1619163854 | $32K |
| 4 | 1104875970 | $5K |
| 5 | Community Physicians Of Indiana Inc Indianapolis, IN · Internal Medicine | $3K |
Showing top 5 of 5 providers billing this code