X0043
HCPCS Procedure Code
HCPCS code X0043 is the #3,311 most-billed Medicaid procedure code, with $2.0M in payments across 7,607 claims from 2018–2024. The national median cost per claim is $444.11. Costs vary widely — the 90th percentile is $896.92 per claim, 2.0× the median.
Total Paid
$2.0M
0.00% of all spending
Total Claims
7,607
Providers
7
Avg Cost/Claim
$257
National Cost Distribution
How much do providers bill per claim for X0043? Based on 6 providers billing this code nationally.
Median
$444.11
Average
$542.59
Std Dev
$296.62
Max
$984.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $392.24 and $727.97 per claim for this code.
90% bill between $286.73 and $896.92.
Top 1% bill above $975.31.
About This Procedure
HCPCS code X0043 was billed by 7 providers across 7,607 claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 1,437 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$444.11
Providers Billing
6
National Spending
$2.0M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for X0043
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1326139023 | $962K |
| 2 | 1184073058 | $784K |
| 3 | 1972587699 | $66K |
| 4 | 1497826515 | $62K |
| 5 | 1720390818 | $61K |
| 6 | 1043219553 | $23K |
| 7 | 1609955822 | $0 |
Showing top 7 of 7 providers billing this code