25605
HCPCS Procedure Code
HCPCS code 25605 is the #3,208 most-billed Medicaid procedure code, with $2.2M in payments across 7,474 claims from 2018–2024. The national median cost per claim is $388.59.
Total Paid
$2.2M
0.00% of all spending
Total Claims
7,474
Providers
52
Avg Cost/Claim
$298
National Cost Distribution
How much do providers bill per claim for 25605? Based on 49 providers billing this code nationally.
Median
$388.59
Average
$405.68
Std Dev
$267.39
Max
$1,253.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $220.70 and $522.09 per claim for this code.
90% bill between $63.57 and $759.06.
Top 1% bill above $1,107.22.
About This Procedure
HCPCS code 25605 was billed by 52 providers across 7,474 claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 6,384 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$388.59
Providers Billing
49
National Spending
$2.2M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 25605
| # | Provider | Total Paid |
|---|---|---|
| 1 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $266K |
| 2 | 1942300918 | $249K |
| 3 | Spectrum Health Hospitals Grand Rapids, MI · General Acute Care Hospital | $230K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $228K |
| 5 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $177K |
| 6 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $134K |
| 7 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $107K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $92K |
| 9 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $73K |
| 10 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $64K |
| 11 | 1306952726 | $59K |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $50K |
| 13 | Suny Health Science Center At Syracuse Syracuse, NY · General Acute Care Hospital | $41K |
| 14 | 1649726738 | $39K |
| 15 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $37K |
| 16 | 1598717480 | $35K |
| 17 | 1245365196 | $30K |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $25K |
| 19 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $25K |
| 20 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $24K |
Showing top 20 of 52 providers billing this code