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#6149 of 11K

E0425

HCPCS Procedure Code

HCPCS code E0425 is the #6,149 most-billed Medicaid procedure code, with $90K in payments across 963 claims from 2018–2024. The national median cost per claim is $85.37.

Total Paid

$90K

0.00% of all spending

Total Claims

963

Providers

3

Avg Cost/Claim

$94

National Cost Distribution

How much do providers bill per claim for E0425? Based on 3 providers billing this code nationally.

Median

$85.37

Average

$65.14

Std Dev

$56.81

Max

$109.06

Percentile Distribution (Cost per Claim)

p10
$17.86
p25
$43.18
Median
$85.37
p75
$97.22
p90
$104.32
p95
$106.69
p99
$108.59

50% of providers bill between $43.18 and $97.22 per claim for this code.

90% bill between $17.86 and $104.32.

Top 1% bill above $108.59.

About This Procedure

HCPCS code E0425 was billed by 3 providers across 963 claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 890 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$85.37

Providers Billing

3

National Spending

$90K

Avg/Median Ratio

0.76×

Normal distribution

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.