43275
HCPCS Procedure Code
HCPCS code 43275 is the #6,063 most-billed Medicaid procedure code, with $100K in payments across 340 claims from 2018–2024. The national median cost per claim is $567.26. Costs vary widely — the 90th percentile is $1,254.25 per claim, 2.2× the median.
Total Paid
$100K
0.00% of all spending
Total Claims
340
Providers
6
Avg Cost/Claim
$293
National Cost Distribution
How much do providers bill per claim for 43275? Based on 6 providers billing this code nationally.
Median
$567.26
Average
$659.55
Std Dev
$575.10
Max
$1,566.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $203.32 and $932.67 per claim for this code.
90% bill between $157.13 and $1,254.25.
Top 1% bill above $1,535.11.
About This Procedure
HCPCS code 43275 was billed by 6 providers across 340 claims, totaling $100K in Medicaid payments from 2018–2024. This code was used for 278 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$567.26
Providers Billing
6
National Spending
$100K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 43275
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $32K |
| 2 | 1326091448 | $30K |
| 3 | 1568481984 | $19K |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $13K |
| 5 | 1528295334 | $3K |
| 6 | 1609847367 | $3K |
Showing top 6 of 6 providers billing this code