42825
HCPCS Procedure Code
HCPCS code 42825 is the #6,466 most-billed Medicaid procedure code, with $63K in payments across 147 claims from 2018–2024. The national median cost per claim is $679.83.
Total Paid
$63K
0.00% of all spending
Total Claims
147
Providers
5
Avg Cost/Claim
$426
National Cost Distribution
How much do providers bill per claim for 42825? Based on 5 providers billing this code nationally.
Median
$679.83
Average
$557.47
Std Dev
$407.96
Max
$933.38
Percentile Distribution (Cost per Claim)
50% of providers bill between $165.97 and $922.70 per claim for this code.
90% bill between $117.67 and $929.11.
Top 1% bill above $932.95.
About This Procedure
HCPCS code 42825 was billed by 5 providers across 147 claims, totaling $63K in Medicaid payments from 2018–2024. This code was used for 119 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$679.83
Providers Billing
5
National Spending
$63K
Avg/Median Ratio
0.82×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 42825
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1750565594 | $23K |
| 2 | 1164750840 | $17K |
| 3 | 1689664906 | $13K |
| 4 | 1861629073 | $5K |
| 5 | 1639285513 | $5K |
Showing top 5 of 5 providers billing this code