C1725
HCPCS Procedure Code
HCPCS code C1725 is the #2,339 most-billed Medicaid procedure code, with $6.6M in payments across 163K claims from 2018–2024. The national median cost per claim is $25.27. Costs vary widely — the 90th percentile is $193.09 per claim, 7.6× the median.
Total Paid
$6.6M
0.00% of all spending
Total Claims
163K
Providers
336
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for C1725? Based on 205 providers billing this code nationally.
Median
$25.27
Average
$71.55
Std Dev
$136.57
Max
$1,045.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.76 and $74.23 per claim for this code.
90% bill between $0.45 and $193.09.
Top 1% bill above $702.88.
About This Procedure
HCPCS code C1725 was billed by 336 providers across 163K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 120K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.27
Providers Billing
205
National Spending
$6.6M
Avg/Median Ratio
2.83×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for C1725
| # | Provider | Total Paid |
|---|---|---|
| 1 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $1.5M |
| 2 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $555K |
| 3 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $468K |
| 4 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $365K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $315K |
| 6 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $221K |
| 7 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $216K |
| 8 | 1437150984 | $202K |
| 9 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $187K |
| 10 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $183K |
| 11 | Mount Sinai Hospital New York, NY · Ambulance | $136K |
| 12 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $135K |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $108K |
| 14 | 1629084702 | $97K |
| 15 | 1104859131 | $72K |
| 16 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $71K |
| 17 | 1477616571 | $71K |
| 18 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $71K |
| 19 | 1740208081 | $68K |
| 20 | 1790775229 | $68K |
Showing top 20 of 336 providers billing this code