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#6123 of 11K

43273

HCPCS Procedure Code

HCPCS code 43273 is the #6,123 most-billed Medicaid procedure code, with $93K in payments across 1K claims from 2018–2024. The national median cost per claim is $62.07.

Total Paid

$93K

0.00% of all spending

Total Claims

1K

Providers

12

Avg Cost/Claim

$65

National Cost Distribution

How much do providers bill per claim for 43273? Based on 11 providers billing this code nationally.

Median

$62.07

Average

$111.15

Std Dev

$175.59

Max

$635.06

Percentile Distribution (Cost per Claim)

p10
$27.91
p25
$57.18
Median
$62.07
p75
$78.18
p90
$93.83
p95
$364.44
p99
$580.94

50% of providers bill between $57.18 and $78.18 per claim for this code.

90% bill between $27.91 and $93.83.

Top 1% bill above $580.94.

About This Procedure

HCPCS code 43273 was billed by 12 providers across 1K claims, totaling $93K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$62.07

Providers Billing

11

National Spending

$93K

Avg/Median Ratio

1.79×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 43273

#ProviderTotal Paid
11275833915$39K
21326140153$20K
31023112117$11K
4Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$10K
5Presbyterian Healthcare Services

Albuquerque, NM · Surgery

$7K
61154660298$2K
7Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$2K
81477655298$928
9William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$760
101962175836$726
11Mainehealth

Portland, ME · Emergency Medicine

$73
12Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$0

Showing top 12 of 12 providers billing this code