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#4275 of 11K

1125F

HCPCS Procedure Code

HCPCS code 1125F is the #4,275 most-billed Medicaid procedure code, with $699K in payments across 5.9M claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $1.02 per claim, 34.0× the median.

Total Paid

$699K

0.00% of all spending

Total Claims

5.9M

Providers

5,024

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 1125F? Based on 879 providers billing this code nationally.

Median

$0.03

Average

$0.58

Std Dev

$2.27

Max

$30.51

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$0.20
p90
$1.02
p95
$2.76
p99
$9.93

50% of providers bill between $0.00 and $0.20 per claim for this code.

90% bill between $0.00 and $1.02.

Top 1% bill above $9.93.

About This Procedure

HCPCS code 1125F was billed by 5,024 providers across 5.9M claims, totaling $699K in Medicaid payments from 2018–2024. This code was used for 5.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

879

National Spending

$699K

Avg/Median Ratio

19.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 1125F

#ProviderTotal Paid
11700886322$127K
21407243223$100K
31295165645$40K
41013042480$37K
51679672562$26K
61225685332$18K
71215940796$14K
81538441761$14K
91720196702$14K
101124067848$13K
111225073166$13K
121558430843$11K
131780832972$11K
141275639379$10K
151215037379$10K
161902934680$8K
171184610248$8K
181730261678$7K
191093253890$6K
201891813085$6K

Showing top 20 of 5,024 providers billing this code