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#2239 of 11K

80143

HCPCS Procedure Code

HCPCS code 80143 is the #2,239 most-billed Medicaid procedure code, with $7.5M in payments across 813K claims from 2018–2024. The national median cost per claim is $6.23. Costs vary widely — the 90th percentile is $20.87 per claim, 3.3× the median.

Total Paid

$7.5M

0.00% of all spending

Total Claims

813K

Providers

1,066

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 80143? Based on 923 providers billing this code nationally.

Median

$6.23

Average

$10.79

Std Dev

$17.16

Max

$149.69

Percentile Distribution (Cost per Claim)

p10
$0.14
p25
$1.17
Median
$6.23
p75
$13.19
p90
$20.87
p95
$35.66
p99
$100.02

50% of providers bill between $1.17 and $13.19 per claim for this code.

90% bill between $0.14 and $20.87.

Top 1% bill above $100.02.

About This Procedure

HCPCS code 80143 was billed by 1,066 providers across 813K claims, totaling $7.5M in Medicaid payments from 2018–2024. This code was used for 708K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.23

Providers Billing

923

National Spending

$7.5M

Avg/Median Ratio

1.73×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 80143

#ProviderTotal Paid
11356390264$485K
21699129601$267K
31811946734$250K
4Grossmont Hospital Corporation

La Mesa, CA · General Acute Care Hospital

$225K
51194774299$166K
61831188275$154K
7Aurora Health Care Metro, Inc.

Milwaukee, WI · Internal Medicine, Hematology & Oncology

$150K
81720088354$140K
91063812907$134K
10Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$130K
111467808659$87K
12Sharp Memorial Hospital

San Diego, CA · General Acute Care Hospital, Women

$86K
131225087190$86K
141427007384$80K
151538141627$69K
161871656082$65K
171689282147$65K
181740413798$63K
19Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$62K
201447221742$62K

Showing top 20 of 1,066 providers billing this code

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