43270
HCPCS Procedure Code
HCPCS code 43270 is the #5,657 most-billed Medicaid procedure code, with $159K in payments across 987 claims from 2018–2024. The national median cost per claim is $160.38.
Total Paid
$159K
0.00% of all spending
Total Claims
987
Providers
4
Avg Cost/Claim
$161
National Cost Distribution
How much do providers bill per claim for 43270? Based on 4 providers billing this code nationally.
Median
$160.38
Average
$151.21
Std Dev
$88.44
Max
$248.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $118.09 and $193.50 per claim for this code.
90% bill between $68.54 and $226.53.
Top 1% bill above $246.34.
About This Procedure
HCPCS code 43270 was billed by 4 providers across 987 claims, totaling $159K in Medicaid payments from 2018–2024. This code was used for 822 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$160.38
Providers Billing
4
National Spending
$159K
Avg/Median Ratio
0.94×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.