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#4264 of 11K

43289

HCPCS Procedure Code

HCPCS code 43289 is the #4,264 most-billed Medicaid procedure code, with $705K in payments across 268 claims from 2018–2024. The national median cost per claim is $2,628.81.

Total Paid

$705K

0.00% of all spending

Total Claims

268

Providers

1

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for 43289? Based on 1 providers billing this code nationally.

Median

$2,628.81

Average

$2,628.81

Std Dev

Max

$2,628.81

Percentile Distribution (Cost per Claim)

p10
$2,628.81
p25
$2,628.81
Median
$2,628.81
p75
$2,628.81
p90
$2,628.81
p95
$2,628.81
p99
$2,628.81

50% of providers bill between $2,628.81 and $2,628.81 per claim for this code.

90% bill between $2,628.81 and $2,628.81.

Top 1% bill above $2,628.81.

About This Procedure

HCPCS code 43289 was billed by 1 providers across 268 claims, totaling $705K in Medicaid payments from 2018–2024. This code was used for 267 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,628.81

Providers Billing

1

National Spending

$705K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.

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