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#9116 of 11K

2025F

HCPCS Procedure Code

HCPCS code 2025F is the #9,116 most-billed Medicaid procedure code, with $350 in payments across 12K claims from 2018–2024. The national median cost per claim is $0.08. Costs vary widely — the 90th percentile is $0.84 per claim, 10.5× the median.

Total Paid

$350

0.00% of all spending

Total Claims

12K

Providers

52

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 2025F? Based on 5 providers billing this code nationally.

Median

$0.08

Average

$0.31

Std Dev

$0.56

Max

$1.30

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.08
p75
$0.15
p90
$0.84
p95
$1.07
p99
$1.26

50% of providers bill between $0.00 and $0.15 per claim for this code.

90% bill between $0.00 and $0.84.

Top 1% bill above $1.26.

About This Procedure

HCPCS code 2025F was billed by 52 providers across 12K claims, totaling $350 in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.08

Providers Billing

5

National Spending

$350

Avg/Median Ratio

3.88×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 2025F

#ProviderTotal Paid
11750845863$315
21174182588$30
31174540629$5
41912091349$0
51376639575$0
61932271921$0
71922110949$0
81861728263$0
91235487406$0
101801171517$0
111992859896$0
121851550016$0
131306402508$0
141841421815$0
151982095543$0
161871965855$0
171780046540$0
181619173895$0
191629485073$0
201669584397$0

Showing top 20 of 52 providers billing this code