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#4475 of 11K

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)

p10
$9.91
p25
$28.70
Median
$61.44
p75
$135.23
p90
$176.90
p95
$189.72
p99
$272.58

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

#ProviderTotal Paid
11215940796$236K
2Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$144K
31285930016$77K
4Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$51K
5Yale University

New Haven, CT · Internal Medicine

$10K
61447270921$6K
71144232786$6K
81871039024$5K
91811146194$4K
101124588793$4K
111720083769$3K
12Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$3K
131811215742$2K
141982894150$2K
151952417438$2K
161548205909$2K
17Henry Ford Health System

Detroit, MI · General Acute Care Hospital

$2K
181205887023$1K
191487899464$1K
201063573368$509

Showing top 20 of 24 providers billing this code