| Place | Swimmer | Age | Club | Time | Std | Power pts |
|---|---|---|---|---|---|---|
| 1 | John Taylor | 16 | FGFAA | 4:12.52 | — | 705 |
| 2 | Jonathan Edwards | 15 | NCGCY | 4:14.92 | — | 727 |
| 3 | Sean Kelty | 15 | NC4579 | 4:15.81 | — | 720 |
| 4 | Andrew Seeber | 15 | NCGCY | 4:17.23 | — | 708 |
| 5 | Maxwell Ayres | 15 | NCYOTA | 4:17.57 | — | 705 |
| 6 | Ethan McCosh | — | NCYSST | 4:17.62 | — | 642 |
| 7 | Benjamin Smith | 16 | NCYOTA | 4:24.43 | — | 614 |
| 1 | Kurt Petruzzi | 14 | NCGSA | 4:25.80 | — | 685 |
| 1 | Mia Corrado | 16 | NCTAC | 4:36.53 | — | 683 |
| 1 | Emma Pitts | 14 | NCYSST | 4:41.29 | — | 676 |
| 2 | Ethan Frondoza | 13 | NCTYDE | 4:44.44 | — | 634 |
| 2 | Sophia Bellissimo | 14 | NCUN-0 | 4:46.72 | — | 638 |
| 2 | Elizabeth Satterfield | 17 | NCYOTA | 4:47.11 | — | 610 |
| 3 | Hadley Osborne | 15 | NCGCY | 4:47.57 | — | 622 |
| 4 | Delaney Medins | 16 | NCYOTA | 4:47.72 | — | 607 |
| 5 | Katelin Speerschneider | 17 | NCYOTA | 4:49.54 | — | 595 |
| 8 | Cairns Edmondson | — | NCGOLD | 4:51.44 | — | 443 |
| 3 | Ella Hitchcock | 13 | NCYSST | 4:52.53 | — | 639 |
| 4 | Breanna Smith | 14 | NCYOTA | 4:52.86 | — | 599 |
| 3 | Evan Dame | 14 | NCLOY | 4:52.99 | — | 511 |
| 6 | Kayana Taylor | — | NCYSST | 4:54.23 | — | 567 |
| 5 | Lula Caress | 14 | NCYOTA | 5:04.31 | — | 534 |
| 6 | Eliza Lamar | — | NCYOTA | 5:10.95 | — | 532 |
| 7 | Lily Wright | 14 | NCYOTA | 5:15.45 | — | 479 |
| 7 | Lindsey Eddleman | — | NCYOTA | 5:28.93 | — | 406 |