98943
HCPCS Procedure Code
HCPCS code 98943 is the #1,356 most-billed Medicaid procedure code, with $25.9M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $14.25.
Total Paid
$25.9M
0.00% of all spending
Total Claims
2.0M
Providers
885
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 98943? Based on 767 providers billing this code nationally.
Median
$14.25
Average
$13.24
Std Dev
$5.95
Max
$38.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.23 and $17.12 per claim for this code.
90% bill between $4.44 and $19.60.
Top 1% bill above $26.82.
About This Procedure
HCPCS code 98943 was billed by 885 providers across 2.0M claims, totaling $25.9M in Medicaid payments from 2018–2024. This code was used for 772K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.25
Providers Billing
767
National Spending
$25.9M
Avg/Median Ratio
0.93×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 98943
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1427022946 | $902K |
| 2 | 1780988261 | $484K |
| 3 | 1013642198 | $398K |
| 4 | 1689846560 | $347K |
| 5 | 1669081626 | $332K |
| 6 | 1952509416 | $315K |
| 7 | 1750508644 | $285K |
| 8 | 1275921660 | $280K |
| 9 | 1801381470 | $262K |
| 10 | 1720366081 | $241K |
| 11 | 1790337020 | $240K |
| 12 | 1699980383 | $234K |
| 13 | 1871693770 | $229K |
| 14 | 1235196114 | $227K |
| 15 | 1407126303 | $227K |
| 16 | 1053315770 | $226K |
| 17 | 1376184564 | $207K |
| 18 | 1457535973 | $202K |
| 19 | 1760537898 | $199K |
| 20 | 1659458487 | $198K |
Showing top 20 of 885 providers billing this code