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#3659 of 11K

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)

p10
$19.07
p25
$36.43
Median
$40.39
p75
$42.39
p90
$44.49
p95
$46.96
p99
$49.28

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

#ProviderTotal Paid
11790939932$198K
21922479047$160K
31972921450$151K
41578081428$119K
51740799527$112K
61629324306$108K
71942483524$107K
81861818668$100K
91588844534$74K
101225281801$61K
111104176445$45K
121861933632$24K
131881847465$21K
141366587073$19K
151841839230$18K
161548410327$18K
171699514380$10K
181316716160$6K
191891853628$6K
201124626262$3K

Showing top 20 of 33 providers billing this code