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#4811 of 11K

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)

p10
$1,252.97
p25
$2,051.55
Median
$3,382.51
p75
$3,768.76
p90
$4,000.51
p95
$4,077.76
p99
$4,139.55

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.