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#5291 of 11K

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)

p10
$196.16
p25
$197.91
Median
$358.60
p75
$638.95
p90
$991.04
p95
$1,108.41
p99
$1,202.30

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

#ProviderTotal Paid
11609847367$111K
2Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$88K
31619163854$32K
41104875970$5K
5Community Physicians Of Indiana Inc

Indianapolis, IN · Internal Medicine

$3K

Showing top 5 of 5 providers billing this code