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#6977 of 11K

29131

HCPCS Procedure Code

HCPCS code 29131 is the #6,977 most-billed Medicaid procedure code, with $34K in payments across 2K claims from 2018–2024. The national median cost per claim is $23.71. Costs vary widely — the 90th percentile is $51.01 per claim, 2.2× the median.

Total Paid

$34K

0.00% of all spending

Total Claims

2K

Providers

9

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 29131? Based on 8 providers billing this code nationally.

Median

$23.71

Average

$27.07

Std Dev

$18.87

Max

$59.96

Percentile Distribution (Cost per Claim)

p10
$9.59
p25
$17.43
Median
$23.71
p75
$33.76
p90
$51.01
p95
$55.49
p99
$59.07

50% of providers bill between $17.43 and $33.76 per claim for this code.

90% bill between $9.59 and $51.01.

Top 1% bill above $59.07.

About This Procedure

HCPCS code 29131 was billed by 9 providers across 2K claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.71

Providers Billing

8

National Spending

$34K

Avg/Median Ratio

1.14×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29131

#ProviderTotal Paid
1New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$18K
21639587504$9K
31982932463$4K
41639314255$862
51861971384$703
61356786842$475
71346232881$364
81639143381$246
91851406540$0

Showing top 9 of 9 providers billing this code