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42975
Billing code 42975
HHS publishes no description for this code; it is likely a state-specific local code.
Medicaid paid $128K on code 42975 from 2018 through 2024, to 12 providers — the #5,852 code in the file by dollars. 51% of it was billed in South Carolina.
28Total paid$128K
24GClaims1,562
Paid per claim line$82.17
33Providers billing it12
Box 32 · Location
Where 42975 is billed
The largest of 6 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 42975
| # | Provider | Location | Claims | Paid on 42975 |
|---|---|---|---|---|
| 1 | Phoenix Children's Hospital | Phoenix, AZ | 222 | $47K |
| 2 | Charleston Ent Associates, LLC | Charleston, SC | 203 | $26K |
| 3 | Privia Medical Group South Carolina, LLC | Greenville, SC | 140 | $18K |
| 4 | Prisma Health-Upstate | Greenville, SC | 234 | $11K |
| 5 | Prisma Health University Medical Group | Greenville, SC | 122 | $10K |
| 6 | Regents of the University of Michigan | Ann Arbor, MI | 178 | $6K |
| 7 | Regents of the University of Michigan | Ann Arbor, MI | 78 | $4K |
| 8 | Children's Hospital of Wisconsin, INC. | Milwaukee, WI | 130 | $3K |
| 9 | Hca Healthone LLC | Denver, CO | 25 | $2K |
| 10 | Healthone Clinic Services - Pediatric Specialties LLC | Denver, CO | 84 | $989.35 |
| 11 | West Virginia University Medical Corporation | Morgantown, WV | 72 | $453.59 |
| 12 | University of Wisconsin Hospitals and Clinics Authority | Madison, WI | 74 | $0.00 |