95125
HCPCS Procedure Code
HCPCS code 95125 is the #5,860 most-billed Medicaid procedure code, with $128K in payments across 14K claims from 2018–2024. The national median cost per claim is $8.90. Costs vary widely — the 90th percentile is $25.55 per claim, 2.9× the median.
Total Paid
$128K
0.00% of all spending
Total Claims
14K
Providers
17
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for 95125? Based on 15 providers billing this code nationally.
Median
$8.90
Average
$13.08
Std Dev
$8.39
Max
$26.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.46 and $21.02 per claim for this code.
90% bill between $6.20 and $25.55.
Top 1% bill above $26.04.
About This Procedure
HCPCS code 95125 was billed by 17 providers across 14K claims, totaling $128K in Medicaid payments from 2018–2024. This code was used for 5,812 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.90
Providers Billing
15
National Spending
$128K
Avg/Median Ratio
1.47×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 95125
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215009741 | $80K |
| 2 | 1730252438 | $17K |
| 3 | 1124027552 | $8K |
| 4 | 1952356297 | $8K |
| 5 | 1306946546 | $3K |
| 6 | 1508992694 | $2K |
| 7 | 1720251697 | $2K |
| 8 | 1083615033 | $2K |
| 9 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $1K |
| 10 | 1134219942 | $1K |
| 11 | 1427668318 | $1K |
| 12 | 1467454967 | $800 |
| 13 | 1194739268 | $507 |
| 14 | 1619075009 | $501 |
| 15 | 1336578772 | $441 |
| 16 | Southern California Permanente Medical Group Panorama City, CA · Health Maintenance Organization | $0 |
| 17 | 1962599571 | $0 |
Showing top 17 of 17 providers billing this code