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#4756 of 11K

3725F

HCPCS Procedure Code

HCPCS code 3725F is the #4,756 most-billed Medicaid procedure code, with $419K in payments across 8.1M claims from 2018–2024. The national median cost per claim is $0.03. Costs vary widely — the 90th percentile is $3.25 per claim, 108.3× the median.

Total Paid

$419K

0.00% of all spending

Total Claims

8.1M

Providers

4,373

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 3725F? Based on 452 providers billing this code nationally.

Median

$0.03

Average

$1.31

Std Dev

$4.50

Max

$50.58

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.00
Median
$0.03
p75
$0.39
p90
$3.25
p95
$5.92
p99
$19.95

50% of providers bill between $0.00 and $0.39 per claim for this code.

90% bill between $0.00 and $3.25.

Top 1% bill above $19.95.

About This Procedure

HCPCS code 3725F was billed by 4,373 providers across 8.1M claims, totaling $419K in Medicaid payments from 2018–2024. This code was used for 7.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.03

Providers Billing

452

National Spending

$419K

Avg/Median Ratio

43.67×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 3725F

#ProviderTotal Paid
11013042480$80K
21164874426$72K
31053679787$16K
41770697278$16K
51689620171$15K
61518922095$11K
71689901688$9K
81346266848$7K
91487203303$7K
101285984476$7K
111124067848$6K
121952356867$6K
131205267002$5K
141699940270$5K
151497889158$5K
161245385095$5K
171609321041$5K
181811587512$5K
191437508314$4K
201417902362$4K

Showing top 20 of 4,373 providers billing this code

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