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#7891 of 11K

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)

p10
$9.05
p25
$12.50
Median
$16.18
p75
$19.22
p90
$20.45
p95
$23.22
p99
$26.75

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

#ProviderTotal Paid
11619971025$2K
21538576509$1K
31932484979$992
41184883472$856
51093112435$776
61487624193$698
71043209794$598
81841263621$566
91578531356$265
101912978669$250
111386913937$234
121922172519$201
131326011263$196
141205837879$116

Showing top 14 of 14 providers billing this code