37243
HCPCS Procedure Code
HCPCS code 37243 is the #4,811 most-billed Medicaid procedure code, with $388K in payments across 141 claims from 2018–2024. The national median cost per claim is $3,382.51.
Total Paid
$388K
0.00% of all spending
Total Claims
141
Providers
3
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for 37243? Based on 3 providers billing this code nationally.
Median
$3,382.51
Average
$2,752.70
Std Dev
$1,801.75
Max
$4,155.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,051.55 and $3,768.76 per claim for this code.
90% bill between $1,252.97 and $4,000.51.
Top 1% bill above $4,139.55.
About This Procedure
HCPCS code 37243 was billed by 3 providers across 141 claims, totaling $388K in Medicaid payments from 2018–2024. This code was used for 121 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$3,382.51
Providers Billing
3
National Spending
$388K
Avg/Median Ratio
0.81×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.