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#5110 of 11K

L2425

HCPCS Procedure Code

HCPCS code L2425 is the #5,110 most-billed Medicaid procedure code, with $288K in payments across 2,817 claims from 2018–2024. The national median cost per claim is $78.11.

Total Paid

$288K

0.00% of all spending

Total Claims

2,817

Providers

6

Avg Cost/Claim

$102

National Cost Distribution

How much do providers bill per claim for L2425? Based on 6 providers billing this code nationally.

Median

$78.11

Average

$88.74

Std Dev

$68.03

Max

$208.30

Percentile Distribution (Cost per Claim)

p10
$32.30
p25
$60.13
Median
$78.11
p75
$101.14
p90
$155.80
p95
$182.05
p99
$203.05

50% of providers bill between $60.13 and $101.14 per claim for this code.

90% bill between $32.30 and $155.80.

Top 1% bill above $203.05.

About This Procedure

HCPCS code L2425 was billed by 6 providers across 2,817 claims, totaling $288K in Medicaid payments from 2018–2024. This code was used for 2,659 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$78.11

Providers Billing

6

National Spending

$288K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for L2425

#ProviderTotal Paid
11326048893$219K
21740287085$51K
31376883660$12K
41891787594$4K
51114987344$2K
61851421663$254

Showing top 6 of 6 providers billing this code

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