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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700886322 | $127K |
| 2 | 1407243223 | $100K |
| 3 | 1295165645 | $40K |
| 4 | 1013042480 | $37K |
| 5 | 1679672562 | $26K |
| 6 | 1225685332 | $18K |
| 7 | 1215940796 | $14K |
| 8 | 1538441761 | $14K |
| 9 | 1720196702 | $14K |
| 10 | 1124067848 | $13K |
| 11 | 1225073166 | $13K |
| 12 | 1558430843 | $11K |
| 13 | 1780832972 | $11K |
| 14 | 1275639379 | $10K |
| 15 | 1215037379 | $10K |
| 16 | 1902934680 | $8K |
| 17 | 1184610248 | $8K |
| 18 | 1730261678 | $7K |
| 19 | 1093253890 | $6K |
| 20 | 1891813085 | $6K |
Showing top 20 of 5,024 providers billing this code