51725
HCPCS Procedure Code
HCPCS code 51725 is the #4,475 most-billed Medicaid procedure code, with $561K in payments across 8,436 claims from 2018–2024. The national median cost per claim is $61.44. Costs vary widely — the 90th percentile is $176.90 per claim, 2.9× the median.
Total Paid
$561K
0.00% of all spending
Total Claims
8,436
Providers
24
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for 51725? Based on 22 providers billing this code nationally.
Median
$61.44
Average
$85.12
Std Dev
$75.52
Max
$294.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $28.70 and $135.23 per claim for this code.
90% bill between $9.91 and $176.90.
Top 1% bill above $272.58.
About This Procedure
HCPCS code 51725 was billed by 24 providers across 8,436 claims, totaling $561K in Medicaid payments from 2018–2024. This code was used for 7,643 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$61.44
Providers Billing
22
National Spending
$561K
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 51725
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215940796 | $236K |
| 2 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $144K |
| 3 | 1285930016 | $77K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $51K |
| 5 | Yale University New Haven, CT · Internal Medicine | $10K |
| 6 | 1447270921 | $6K |
| 7 | 1144232786 | $6K |
| 8 | 1871039024 | $5K |
| 9 | 1811146194 | $4K |
| 10 | 1124588793 | $4K |
| 11 | 1720083769 | $3K |
| 12 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $3K |
| 13 | 1811215742 | $2K |
| 14 | 1982894150 | $2K |
| 15 | 1952417438 | $2K |
| 16 | 1548205909 | $2K |
| 17 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $2K |
| 18 | 1205887023 | $1K |
| 19 | 1487899464 | $1K |
| 20 | 1063573368 | $509 |
Showing top 20 of 24 providers billing this code