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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1568589802 | $191K |
| 2 | 1760966576 | $84K |
| 3 | 1093208266 | $76K |
| 4 | 1235520917 | $69K |
| 5 | 1386925394 | $29K |
| 6 | 1083246052 | $28K |
| 7 | 1922559558 | $24K |
| 8 | 1801824388 | $22K |
| 9 | 1942680186 | $22K |
| 10 | 1083605661 | $19K |
| 11 | 1194876136 | $18K |
| 12 | Southcentral Foundation Anchorage, AK · Clinic/Center Community Health | $18K |
| 13 | 1144220369 | $16K |
| 14 | 1326121179 | $13K |
| 15 | 1043815848 | $12K |
| 16 | 1073701421 | $11K |
| 17 | 1053777839 | $11K |
| 18 | 1316087315 | $10K |
| 19 | 1144677568 | $8K |
| 20 | 1144777590 | $8K |
Showing top 20 of 176 providers billing this code