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#1997 of 11K

37225

HCPCS Procedure Code

HCPCS code 37225 is the #1,997 most-billed Medicaid procedure code, with $10.4M in payments across 7K claims from 2018–2024. The national median cost per claim is $1,075.53. Costs vary widely — the 90th percentile is $4,362.90 per claim, 4.1× the median.

Total Paid

$10.4M

0.00% of all spending

Total Claims

7K

Providers

38

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for 37225? Based on 37 providers billing this code nationally.

Median

$1,075.53

Average

$1,730.72

Std Dev

$1,897.86

Max

$8,208.08

Percentile Distribution (Cost per Claim)

p10
$76.13
p25
$476.54
Median
$1,075.53
p75
$2,241.21
p90
$4,362.90
p95
$5,505.14
p99
$7,549.00

50% of providers bill between $476.54 and $2,241.21 per claim for this code.

90% bill between $76.13 and $4,362.90.

Top 1% bill above $7,549.00.

About This Procedure

HCPCS code 37225 was billed by 38 providers across 7K claims, totaling $10.4M in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,075.53

Providers Billing

37

National Spending

$10.4M

Avg/Median Ratio

1.61×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 37225

#ProviderTotal Paid
11205835485$4.0M
21578949889$2.7M
31497224174$615K
41558578583$413K
51194202234$386K
61790131597$292K
71265829527$247K
81982029732$205K
91225062490$166K
101679791404$138K
111386754273$125K
121669984480$125K
131558356741$107K
141194020610$105K
151013014083$88K
16State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$78K
171427360700$63K
181003298340$60K
191457321036$58K
201326487513$57K

Showing top 20 of 38 providers billing this code