K0043
HCPCS Procedure Code
HCPCS code K0043 is the #7,891 most-billed Medicaid procedure code, with $9K in payments across 613 claims from 2018–2024. The national median cost per claim is $16.18.
Total Paid
$9K
0.00% of all spending
Total Claims
613
Providers
14
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for K0043? Based on 14 providers billing this code nationally.
Median
$16.18
Average
$15.66
Std Dev
$5.72
Max
$27.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.50 and $19.22 per claim for this code.
90% bill between $9.05 and $20.45.
Top 1% bill above $26.75.
About This Procedure
HCPCS code K0043 was billed by 14 providers across 613 claims, totaling $9K in Medicaid payments from 2018–2024. This code was used for 484 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$16.18
Providers Billing
14
National Spending
$9K
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for K0043
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619971025 | $2K |
| 2 | 1538576509 | $1K |
| 3 | 1932484979 | $992 |
| 4 | 1184883472 | $856 |
| 5 | 1093112435 | $776 |
| 6 | 1487624193 | $698 |
| 7 | 1043209794 | $598 |
| 8 | 1841263621 | $566 |
| 9 | 1578531356 | $265 |
| 10 | 1912978669 | $250 |
| 11 | 1386913937 | $234 |
| 12 | 1922172519 | $201 |
| 13 | 1326011263 | $196 |
| 14 | 1205837879 | $116 |
Showing top 14 of 14 providers billing this code