70543
HCPCS Procedure Code
HCPCS code 70543 is the #1,618 most-billed Medicaid procedure code, with $17.6M in payments across 38K claims from 2018–2024. The national median cost per claim is $247.27. Costs vary widely — the 90th percentile is $694.27 per claim, 2.8× the median.
Total Paid
$17.6M
0.00% of all spending
Total Claims
38K
Providers
143
Avg Cost/Claim
$465
National Cost Distribution
How much do providers bill per claim for 70543? Based on 138 providers billing this code nationally.
Median
$247.27
Average
$333.21
Std Dev
$384.29
Max
$2,395.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $96.36 and $385.77 per claim for this code.
90% bill between $59.30 and $694.27.
Top 1% bill above $2,065.86.
About This Procedure
HCPCS code 70543 was billed by 143 providers across 38K claims, totaling $17.6M in Medicaid payments from 2018–2024. This code was used for 36K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$247.27
Providers Billing
138
National Spending
$17.6M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 70543
| # | Provider | Total Paid |
|---|---|---|
| 1 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $4.1M |
| 2 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.5M |
| 3 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $1.2M |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1.2M |
| 5 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.1M |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $809K |
| 7 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $736K |
| 8 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $669K |
| 9 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $489K |
| 10 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $320K |
| 11 | 1639101751 | $315K |
| 12 | 1689744450 | $309K |
| 13 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $299K |
| 14 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $248K |
| 15 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $220K |
| 16 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $208K |
| 17 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $204K |
| 18 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $197K |
| 19 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $188K |
| 20 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $186K |
Showing top 20 of 143 providers billing this code