76825
HCPCS Procedure Code
HCPCS code 76825 is the #864 most-billed Medicaid procedure code, with $65.9M in payments across 437K claims from 2018–2024. The national median cost per claim is $103.74. Costs vary widely — the 90th percentile is $266.22 per claim, 2.6× the median.
Total Paid
$65.9M
0.01% of all spending
Total Claims
437K
Providers
667
Avg Cost/Claim
$151
National Cost Distribution
How much do providers bill per claim for 76825? Based on 658 providers billing this code nationally.
Median
$103.74
Average
$140.43
Std Dev
$154.90
Max
$2,834.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $58.44 and $182.92 per claim for this code.
90% bill between $41.31 and $266.22.
Top 1% bill above $534.27.
About This Procedure
HCPCS code 76825 was billed by 667 providers across 437K claims, totaling $65.9M in Medicaid payments from 2018–2024. This code was used for 399K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$103.74
Providers Billing
658
National Spending
$65.9M
Avg/Median Ratio
1.35×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 76825
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376565952 | $2.7M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.3M |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.9M |
| 4 | Driscoll Childrens Hospital Corpus Christi, TX · Speech-Language Pathologist, | $1.9M |
| 5 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $1.7M |
| 6 | 1093829210 | $1.4M |
| 7 | 1437501988 | $1.4M |
| 8 | 1104973064 | $1.2M |
| 9 | University Of Texas Medical Branch At Galveston Galveston, TX · Clinic/Center, Ambulatory Surgical | $1.2M |
| 10 | 1174557979 | $1.2M |
| 11 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $1.2M |
| 12 | 1336148543 | $1.1M |
| 13 | 1982799375 | $1.1M |
| 14 | 1689744450 | $1.0M |
| 15 | 1093819492 | $1.0M |
| 16 | 1730259805 | $1.0M |
| 17 | 1124040076 | $941K |
| 18 | 1154333086 | $852K |
| 19 | 1003811381 | $799K |
| 20 | 1821229568 | $787K |
Showing top 20 of 667 providers billing this code