D0425
HCPCS Procedure Code
HCPCS code D0425 is the #3,659 most-billed Medicaid procedure code, with $1.4M in payments across 35K claims from 2018–2024. The national median cost per claim is $40.39.
Total Paid
$1.4M
0.00% of all spending
Total Claims
35K
Providers
33
Avg Cost/Claim
$40
National Cost Distribution
How much do providers bill per claim for D0425? Based on 29 providers billing this code nationally.
Median
$40.39
Average
$36.64
Std Dev
$10.48
Max
$49.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.43 and $42.39 per claim for this code.
90% bill between $19.07 and $44.49.
Top 1% bill above $49.28.
About This Procedure
HCPCS code D0425 was billed by 33 providers across 35K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 33K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$40.39
Providers Billing
29
National Spending
$1.4M
Avg/Median Ratio
0.91×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for D0425
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1790939932 | $198K |
| 2 | 1922479047 | $160K |
| 3 | 1972921450 | $151K |
| 4 | 1578081428 | $119K |
| 5 | 1740799527 | $112K |
| 6 | 1629324306 | $108K |
| 7 | 1942483524 | $107K |
| 8 | 1861818668 | $100K |
| 9 | 1588844534 | $74K |
| 10 | 1225281801 | $61K |
| 11 | 1104176445 | $45K |
| 12 | 1861933632 | $24K |
| 13 | 1881847465 | $21K |
| 14 | 1366587073 | $19K |
| 15 | 1841839230 | $18K |
| 16 | 1548410327 | $18K |
| 17 | 1699514380 | $10K |
| 18 | 1316716160 | $6K |
| 19 | 1891853628 | $6K |
| 20 | 1124626262 | $3K |
Showing top 20 of 33 providers billing this code