43775
HCPCS Procedure Code
HCPCS code 43775 is the #1,263 most-billed Medicaid procedure code, with $30.4M in payments across 34K claims from 2018–2024. The national median cost per claim is $619.12. Costs vary widely — the 90th percentile is $2,219.41 per claim, 3.6× the median.
Total Paid
$30.4M
0.00% of all spending
Total Claims
34K
Providers
211
Avg Cost/Claim
$883
National Cost Distribution
How much do providers bill per claim for 43775? Based on 210 providers billing this code nationally.
Median
$619.12
Average
$903.29
Std Dev
$1,003.94
Max
$9,305.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $376.69 and $945.56 per claim for this code.
90% bill between $154.56 and $2,219.41.
Top 1% bill above $3,440.01.
About This Procedure
HCPCS code 43775 was billed by 211 providers across 34K claims, totaling $30.4M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$619.12
Providers Billing
210
National Spending
$30.4M
Avg/Median Ratio
1.46×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43775
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598860272 | $1.8M |
| 2 | 1205125275 | $1.8M |
| 3 | 1619036381 | $1.6M |
| 4 | 1528480753 | $1.5M |
| 5 | 1013295070 | $1.3M |
| 6 | 1952823841 | $945K |
| 7 | 1184821373 | $914K |
| 8 | 1194925792 | $909K |
| 9 | 1124141163 | $881K |
| 10 | 1780068189 | $826K |
| 11 | Montefiore Medical Center Bronx, NY · Anesthesiology | $656K |
| 12 | 1962699835 | $652K |
| 13 | 1780961300 | $644K |
| 14 | 1336174366 | $590K |
| 15 | 1699724872 | $588K |
| 16 | 1407957673 | $513K |
| 17 | 1053672915 | $488K |
| 18 | 1144574484 | $444K |
| 19 | 1518360296 | $428K |
| 20 | 1386664225 | $414K |
Showing top 20 of 211 providers billing this code