94625
HCPCS Procedure Code
HCPCS code 94625 is the #5,752 most-billed Medicaid procedure code, with $145K in payments across 4,758 claims from 2018–2024. The national median cost per claim is $27.23.
Total Paid
$145K
0.00% of all spending
Total Claims
4,758
Providers
12
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for 94625? Based on 12 providers billing this code nationally.
Median
$27.23
Average
$27.67
Std Dev
$18.25
Max
$67.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.68 and $39.53 per claim for this code.
90% bill between $8.07 and $43.07.
Top 1% bill above $64.44.
About This Procedure
HCPCS code 94625 was billed by 12 providers across 4,758 claims, totaling $145K in Medicaid payments from 2018–2024. This code was used for 1,028 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.23
Providers Billing
12
National Spending
$145K
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 94625
| # | Provider | Total Paid |
|---|---|---|
| 1 | Riverside University Health Systems - Medical Center Moreno Valley, CA · General Acute Care Hospital | $50K |
| 2 | Summa Health System Akron, OH · General Acute Care Hospital | $42K |
| 3 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $18K |
| 4 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $13K |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4K |
| 6 | 1114074879 | $4K |
| 7 | 1760492714 | $4K |
| 8 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $3K |
| 9 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $3K |
| 10 | 1790028025 | $3K |
| 11 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1K |
| 12 | 1205588324 | $788 |
Showing top 12 of 12 providers billing this code