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#2640 of 11K

29405

HCPCS Procedure Code

HCPCS code 29405 is the #2,640 most-billed Medicaid procedure code, with $4.4M in payments across 44K claims from 2018–2024. The national median cost per claim is $57.27. Costs vary widely — the 90th percentile is $253.21 per claim, 4.4× the median.

Total Paid

$4.4M

0.00% of all spending

Total Claims

44K

Providers

133

Avg Cost/Claim

$101

National Cost Distribution

How much do providers bill per claim for 29405? Based on 131 providers billing this code nationally.

Median

$57.27

Average

$101.76

Std Dev

$95.13

Max

$416.24

Percentile Distribution (Cost per Claim)

p10
$28.35
p25
$39.43
Median
$57.27
p75
$137.34
p90
$253.21
p95
$312.41
p99
$390.69

50% of providers bill between $39.43 and $137.34 per claim for this code.

90% bill between $28.35 and $253.21.

Top 1% bill above $390.69.

About This Procedure

HCPCS code 29405 was billed by 133 providers across 44K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 31K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$57.27

Providers Billing

131

National Spending

$4.4M

Avg/Median Ratio

1.78×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 29405

#ProviderTotal Paid
1Children's Hospital Corporation

Boston, MA · Clinic/Center

$328K
2Unm Hospital

Albuquerque, NM · General Acute Care Hospital

$312K
3Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$301K
4Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$276K
5Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$272K
6Children's Specialized Hospital

New Brunswick, NJ · Pediatrics

$263K
7Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$259K
8Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$199K
9Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$188K
101982838918$170K
11Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$155K
12Ahs Hospital Corp.

Morristown, NJ · General Acute Care Hospital

$109K
13Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$106K
14Children's Hospital & Research Center At Oakland

Oakland, CA · General Acute Care Hospital

$103K
151942300918$85K
16University Of Wisconsin Hospitals And Clinics Authority

Madison, WI · General Acute Care Hospital

$71K
17Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$70K
181679771703$69K
191215930490$63K
20The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$63K

Showing top 20 of 133 providers billing this code