16025
HCPCS Procedure Code
HCPCS code 16025 is the #5,282 most-billed Medicaid procedure code, with $241K in payments across 1K claims from 2018–2024. The national median cost per claim is $153.26.
Total Paid
$241K
0.00% of all spending
Total Claims
1K
Providers
8
Avg Cost/Claim
$166
National Cost Distribution
How much do providers bill per claim for 16025? Based on 8 providers billing this code nationally.
Median
$153.26
Average
$156.86
Std Dev
$99.90
Max
$284.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $83.34 and $244.91 per claim for this code.
90% bill between $47.66 and $270.18.
Top 1% bill above $282.81.
About This Procedure
HCPCS code 16025 was billed by 8 providers across 1K claims, totaling $241K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$153.26
Providers Billing
8
National Spending
$241K
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 16025
| # | Provider | Total Paid |
|---|---|---|
| 1 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $89K |
| 2 | North Shore-lij Medical Pc Great Neck, NY · Urology | $64K |
| 3 | The Children's Mercy Hospital Kansas City, MO · General Acute Care Hospital Children | $42K |
| 4 | 1114958584 | $36K |
| 5 | 1407877137 | $5K |
| 6 | 1326093675 | $2K |
| 7 | 1598717480 | $1K |
| 8 | 1053396655 | $644 |
Showing top 8 of 8 providers billing this code