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#3442 of 11K

29085

HCPCS Procedure Code

HCPCS code 29085 is the #3,442 most-billed Medicaid procedure code, with $1.7M in payments across 16K claims from 2018–2024. The national median cost per claim is $56.99. Costs vary widely — the 90th percentile is $203.73 per claim, 3.6× the median.

Total Paid

$1.7M

0.00% of all spending

Total Claims

16K

Providers

46

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for 29085? Based on 46 providers billing this code nationally.

Median

$56.99

Average

$81.50

Std Dev

$78.83

Max

$331.26

Percentile Distribution (Cost per Claim)

p10
$15.88
p25
$38.46
Median
$56.99
p75
$83.29
p90
$203.73
p95
$239.23
p99
$329.15

50% of providers bill between $38.46 and $83.29 per claim for this code.

90% bill between $15.88 and $203.73.

Top 1% bill above $329.15.

About This Procedure

HCPCS code 29085 was billed by 46 providers across 16K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$56.99

Providers Billing

46

National Spending

$1.7M

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29085

#ProviderTotal Paid
11306952726$724K
21679771703$197K
3Cook Children's Physician Network

Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)

$170K
4Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$146K
5Children's Hospital Medical Center Of Akron

Akron, OH · General Acute Care Hospital Children

$101K
6Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$82K
7The Metrohealth System

Cleveland, OH · General Acute Care Hospital

$49K
81184828451$23K
91689632374$23K
101730189598$19K
111437193265$16K
12Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$13K
131992109904$11K
14Phoenix Children's Hospital

Phoenix, AZ · Pediatrics

$10K
151598193625$9K
16Riverside University Health Systems - Medical Center

Moreno Valley, CA · General Acute Care Hospital

$8K
171194723999$7K
181942300918$7K
191841421096$6K
20Our Lady Of The Lake Physician Group Llc

Baton Rouge, LA · Allergy & Immunology

$6K

Showing top 20 of 46 providers billing this code

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