43244
HCPCS Procedure Code
HCPCS code 43244 is the #4,727 most-billed Medicaid procedure code, with $430K in payments across 2K claims from 2018–2024. The national median cost per claim is $207.08. Costs vary widely — the 90th percentile is $527.79 per claim, 2.5× the median.
Total Paid
$430K
0.00% of all spending
Total Claims
2K
Providers
23
Avg Cost/Claim
$254
National Cost Distribution
How much do providers bill per claim for 43244? Based on 23 providers billing this code nationally.
Median
$207.08
Average
$296.25
Std Dev
$234.45
Max
$935.51
Percentile Distribution (Cost per Claim)
50% of providers bill between $135.53 and $425.47 per claim for this code.
90% bill between $95.36 and $527.79.
Top 1% bill above $911.08.
About This Procedure
HCPCS code 43244 was billed by 23 providers across 2K claims, totaling $430K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$207.08
Providers Billing
23
National Spending
$430K
Avg/Median Ratio
1.43×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43244
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1144471715 | $91K |
| 2 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $71K |
| 3 | 1205909892 | $50K |
| 4 | 1194099390 | $43K |
| 5 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $41K |
| 6 | 1275553463 | $23K |
| 7 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $21K |
| 8 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $17K |
| 9 | 1801827639 | $14K |
| 10 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $11K |
| 11 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $11K |
| 12 | 1831218627 | $8K |
| 13 | 1578587150 | $6K |
| 14 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $5K |
| 15 | 1164491072 | $3K |
| 16 | Faculty Physicians And Surgeons Of Llusm Redlands, CA · Pediatrics | $3K |
| 17 | 1205400421 | $3K |
| 18 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $3K |
| 19 | 1437292927 | $2K |
| 20 | 1740310689 | $2K |
Showing top 20 of 23 providers billing this code