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#4038 of 11K

98925

HCPCS Procedure Code

HCPCS code 98925 is the #4,038 most-billed Medicaid procedure code, with $910K in payments across 73K claims from 2018–2024. The national median cost per claim is $13.42. Costs vary widely — the 90th percentile is $27.63 per claim, 2.1× the median.

Total Paid

$910K

0.00% of all spending

Total Claims

73K

Providers

176

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 98925? Based on 163 providers billing this code nationally.

Median

$13.42

Average

$18.37

Std Dev

$43.36

Max

$554.12

Percentile Distribution (Cost per Claim)

p10
$2.20
p25
$7.43
Median
$13.42
p75
$22.28
p90
$27.63
p95
$34.87
p99
$43.13

50% of providers bill between $7.43 and $22.28 per claim for this code.

90% bill between $2.20 and $27.63.

Top 1% bill above $43.13.

About This Procedure

HCPCS code 98925 was billed by 176 providers across 73K claims, totaling $910K in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.42

Providers Billing

163

National Spending

$910K

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 98925

#ProviderTotal Paid
11568589802$191K
21760966576$84K
31093208266$76K
41235520917$69K
51386925394$29K
61083246052$28K
71922559558$24K
81801824388$22K
91942680186$22K
101083605661$19K
111194876136$18K
12Southcentral Foundation

Anchorage, AK · Clinic/Center Community Health

$18K
131144220369$16K
141326121179$13K
151043815848$12K
161073701421$11K
171053777839$11K
181316087315$10K
191144677568$8K
201144777590$8K

Showing top 20 of 176 providers billing this code