#5795 of 11K

29260

HCPCS Procedure Code

HCPCS code 29260 is the #5,795 most-billed Medicaid procedure code, with $136K in payments across 7,151 claims from 2018–2024. The national median cost per claim is $18.51.

Total Paid

$136K

0.00% of all spending

Total Claims

7,151

Providers

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for 29260? Based on 24 providers billing this code nationally.

Median

$18.51

Average

$18.38

Std Dev

$9.81

Max

$37.14

Percentile Distribution (Cost per Claim)

p10

$6.06

p25

$12.02

Median

$18.51

p75

$23.71

p90

$30.16

p95

$34.78

p99

$36.77

50% of providers bill between $12.02 and $23.71 per claim for this code.

90% bill between $6.06 and $30.16.

Top 1% bill above $36.77.

About This Procedure

HCPCS code 29260 was billed by 25 providers across 7,151 claims, totaling $136K in Medicaid payments from 2018–2024. This code was used for 4,999 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.51

Providers Billing

National Spending

$136K

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29260

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1407044423	$45K	$23.43	1.3× median	Above Median
2	1881103133	$32K	$20.73	1.1× median	Above Median
3	1508979162	$24K	$29.31	1.6× median	Above 75th
4	1659040731	$7K	$7.77	0.4× median	Below Median
5	1639314255	$6K	$20.73	1.1× median	Above Median
6	1104369883	$5K	$24.55	1.3× median	Above 75th
7	1588959084	$4K	$30.52	1.6× median	Top 10%
8	1891028379	$2K	$17.65	1.0× median	Below Median
9	Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital	$2K	$37.14	2.0× median	Top 1%
10	1790030385	$2K	$19.37	1.0× median	Above Median
11	1669505160	$2K	$35.53	1.9× median	Top 10%
12	1013097120	$938	$5.33	0.3× median	Below Median
13	1427416668	$641	$12.56	0.7× median	Below Median
14	1669825162	$620	$20.68	1.1× median	Above Median
15	1275936932	$572	$21.99	1.2× median	Above Median
16	1588663769	$451	$1.61	0.1× median	Below Median
17	1093756025	$424	$16.95	0.9× median	Below Median
18	1659883486	$400	$28.58	1.5× median	Above 75th
19	1821351610	$227	$16.18	0.9× median	Below Median
20	1811278716	$220	$16.95	0.9× median	Below Median

Showing top 20 of 25 providers billing this code

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