#4286 of 11K

95925

HCPCS Procedure Code

HCPCS code 95925 is the #4,286 most-billed Medicaid procedure code, with $694K in payments across 13K claims from 2018–2024. The national median cost per claim is $54.03. Costs vary widely — the 90th percentile is $147.07 per claim, 2.7× the median.

Total Paid

$694K

0.00% of all spending

Total Claims

13K

Providers

Avg Cost/Claim

$54

National Cost Distribution

How much do providers bill per claim for 95925? Based on 28 providers billing this code nationally.

Median

$54.03

Average

$65.11

Std Dev

$56.76

Max

$202.21

Percentile Distribution (Cost per Claim)

p10

$3.40

p25

$22.50

Median

$54.03

p75

$91.82

p90

$147.07

p95

$164.44

p99

$192.83

50% of providers bill between $22.50 and $91.82 per claim for this code.

90% bill between $3.40 and $147.07.

Top 1% bill above $192.83.

About This Procedure

HCPCS code 95925 was billed by 31 providers across 13K claims, totaling $694K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$54.03

Providers Billing

National Spending

$694K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 95925

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1043362445	$123K	$45.75	0.8× median	Below Median
2	1730813510	$106K	$83.31	1.5× median	Above Median
3	1013259084	$98K	$73.15	1.4× median	Above Median
4	1013334234	$71K	$142.02	2.6× median	Above 75th
5	1184928848	$69K	$62.32	1.2× median	Above Median
6	1124003488	$44K	$39.52	0.7× median	Below Median
7	1366806655	$38K	$36.77	0.7× median	Below Median
8	1568455525	$31K	$122.69	2.3× median	Above 75th
9	1740586627	$21K	$74.36	1.4× median	Above Median
10	1497407654	$21K	$85.56	1.6× median	Above Median
11	1437278157	$21K	$158.85	2.9× median	Top 10%
12	1730668526	$20K	$66.10	1.2× median	Above Median
13	1922150044	$6K	$29.22	0.5× median	Below Median
14	1265536536	$4K	$167.45	3.1× median	Top 10%
15	1376642900	$4K	$15.21	0.3× median	Below Median
16	1023894003	$3K	$7.52	0.1× median	Below Median
17	1215130372	$2K	$202.21	3.7× median	Top 1%
18	1497392617	$2K	$131.59	2.4× median	Above 75th
19	1407587942	$2K	$3.84	0.1× median	Below Median
20	1972834489	$2K	$110.61	2.0× median	Above 75th

Showing top 20 of 31 providers billing this code

Related Procedures

95923$19.6M 95921$8.3M 95930Visual evoked potential testing$5.0M 95924$4.0M 95926$669K

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