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#5742 of 11K

43845

HCPCS Procedure Code

HCPCS code 43845 is the #5,742 most-billed Medicaid procedure code, with $146K in payments across 129 claims from 2018–2024. The national median cost per claim is $1,133.86.

Total Paid

$146K

0.00% of all spending

Total Claims

129

Providers

1

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 43845? Based on 1 providers billing this code nationally.

Median

$1,133.86

Average

$1,133.86

Std Dev

Max

$1,133.86

Percentile Distribution (Cost per Claim)

p10
$1,133.86
p25
$1,133.86
Median
$1,133.86
p75
$1,133.86
p90
$1,133.86
p95
$1,133.86
p99
$1,133.86

50% of providers bill between $1,133.86 and $1,133.86 per claim for this code.

90% bill between $1,133.86 and $1,133.86.

Top 1% bill above $1,133.86.

About This Procedure

HCPCS code 43845 was billed by 1 providers across 129 claims, totaling $146K in Medicaid payments from 2018–2024. This code was used for 68 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,133.86

Providers Billing

1

National Spending

$146K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.