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#5149 of 11K

57425

HCPCS Procedure Code

HCPCS code 57425 is the #5,149 most-billed Medicaid procedure code, with $276K in payments across 494 claims from 2018–2024. The national median cost per claim is $349.00. Costs vary widely — the 90th percentile is $1,267.12 per claim, 3.6× the median.

Total Paid

$276K

0.00% of all spending

Total Claims

494

Providers

5

Avg Cost/Claim

$559

National Cost Distribution

How much do providers bill per claim for 57425? Based on 5 providers billing this code nationally.

Median

$349.00

Average

$619.22

Std Dev

$623.78

Max

$1,692.74

Percentile Distribution (Cost per Claim)

p10
$209.49
p25
$229.51
Median
$349.00
p75
$628.68
p90
$1,267.12
p95
$1,479.93
p99
$1,650.18

50% of providers bill between $229.51 and $628.68 per claim for this code.

90% bill between $209.49 and $1,267.12.

Top 1% bill above $1,650.18.

About This Procedure

HCPCS code 57425 was billed by 5 providers across 494 claims, totaling $276K in Medicaid payments from 2018–2024. This code was used for 261 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$349.00

Providers Billing

5

National Spending

$276K

Avg/Median Ratio

1.77×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 57425

#ProviderTotal Paid
11952326977$156K
21932381530$69K
31124588793$40K
4Maimonides Medical Center

Brooklyn, NY · General Acute Care Hospital

$8K
51003280546$4K

Showing top 5 of 5 providers billing this code

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