#4405 of 11K

29240

HCPCS Procedure Code

HCPCS code 29240 is the #4,405 most-billed Medicaid procedure code, with $610K in payments across 28K claims from 2018–2024. The national median cost per claim is $19.34. Costs vary widely — the 90th percentile is $42.17 per claim, 2.2× the median.

Total Paid

$610K

0.00% of all spending

Total Claims

28K

Providers

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 29240? Based on 35 providers billing this code nationally.

Median

$19.34

Average

$28.05

Std Dev

$39.06

Max

$182.83

Percentile Distribution (Cost per Claim)

p10

$3.76

p25

$7.61

Median

$19.34

p75

$27.48

p90

$42.17

p95

$86.01

p99

$178.02

50% of providers bill between $7.61 and $27.48 per claim for this code.

90% bill between $3.76 and $42.17.

Top 1% bill above $178.02.

About This Procedure

HCPCS code 29240 was billed by 37 providers across 28K claims, totaling $610K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.34

Providers Billing

National Spending

$610K

Avg/Median Ratio

1.45×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29240

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1881103133	$95K	$33.46	1.7× median	Above 75th
2	1427416668	$80K	$19.34	1.0× median	Above Median
3	New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization	$70K	$22.29	1.2× median	Above Median
4	1982259040	$60K	$37.08	1.9× median	Above 75th
5	1447848221	$53K	$23.94	1.2× median	Above Median
6	1881762516	$50K	$26.81	1.4× median	Above Median
7	1053644153	$43K	$13.96	0.7× median	Below Median
8	1104369883	$23K	$27.54	1.4× median	Above 75th
9	1760807093	$22K	$23.13	1.2× median	Above Median
10	Public Hospital District 1 Of King County Renton, WA · General Acute Care Hospital	$15K	$182.83	9.5× median	Top 1%
11	1003231754	$15K	$15.01	0.8× median	Below Median
12	1104927342	$13K	$37.30	1.9× median	Above 75th
13	1285798033	$11K	$50.58	2.6× median	Top 10%
14	1174762082	$11K	$35.79	1.9× median	Above 75th
15	1063931269	$11K	$27.43	1.4× median	Above Median
16	1528569316	$9K	$13.99	0.7× median	Below Median
17	1790785996	$5K	$168.69	8.7× median	Top 10%
18	1932583663	$4K	$13.51	0.7× median	Below Median
19	1912982927	$4K	$6.58	0.3× median	Below Median
20	1811948953	$3K	$15.71	0.8× median	Below Median

Showing top 20 of 37 providers billing this code

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