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#6005 of 11K

29280

HCPCS Procedure Code

HCPCS code 29280 is the #6,005 most-billed Medicaid procedure code, with $108K in payments across 3,995 claims from 2018–2024. The national median cost per claim is $16.94. Costs vary widely — the 90th percentile is $72.37 per claim, 4.3× the median.

Total Paid

$108K

0.00% of all spending

Total Claims

3,995

Providers

14

Avg Cost/Claim

$27

National Cost Distribution

How much do providers bill per claim for 29280? Based on 14 providers billing this code nationally.

Median

$16.94

Average

$37.32

Std Dev

$49.45

Max

$192.61

Percentile Distribution (Cost per Claim)

p10
$8.87
p25
$12.18
Median
$16.94
p75
$34.74
p90
$72.37
p95
$116.07
p99
$177.30

50% of providers bill between $12.18 and $34.74 per claim for this code.

90% bill between $8.87 and $72.37.

Top 1% bill above $177.30.

About This Procedure

HCPCS code 29280 was billed by 14 providers across 3,995 claims, totaling $108K in Medicaid payments from 2018–2024. This code was used for 2,992 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.94

Providers Billing

14

National Spending

$108K

Avg/Median Ratio

2.20×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 29280

#ProviderTotal Paid
11518121516$41K
21184828451$17K
31659040731$15K
41881103133$11K
51588959084$9K
6Ahava Medical And Rehabilitation Center, Llc

Brooklyn, NY · Rehabilitation Practitioner

$8K
71013097120$2K
81639314255$1K
91790030385$1K
101437796216$550
11Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$550
121811278716$180
131821351610$172
141679771703$77

Showing top 14 of 14 providers billing this code