#4145 of 11K

29425

HCPCS Procedure Code

HCPCS code 29425 is the #4,145 most-billed Medicaid procedure code, with $806K in payments across 8,723 claims from 2018–2024. The national median cost per claim is $71.70. Costs vary widely — the 90th percentile is $198.43 per claim, 2.8× the median.

Total Paid

$806K

0.00% of all spending

Total Claims

8,723

Providers

Avg Cost/Claim

$92

National Cost Distribution

How much do providers bill per claim for 29425? Based on 44 providers billing this code nationally.

Median

$71.70

Average

$92.02

Std Dev

$69.52

Max

$352.66

Percentile Distribution (Cost per Claim)

p10

$31.58

p25

$52.61

Median

$71.70

p75

$111.98

p90

$198.43

p95

$201.79

p99

$303.51

50% of providers bill between $52.61 and $111.98 per claim for this code.

90% bill between $31.58 and $198.43.

Top 1% bill above $303.51.

About This Procedure

HCPCS code 29425 was billed by 45 providers across 8,723 claims, totaling $806K in Medicaid payments from 2018–2024. This code was used for 6,345 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.70

Providers Billing

National Spending

$806K

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 29425

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children	$205K	$196.37	2.7× median	Above 75th
2	1306952726	$139K	$352.66	4.9× median	Top 1%
3	1508264938	$97K	$73.64	1.0× median	Above Median
4	1083105548	$45K	$37.35	0.5× median	Below Median
5	Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children	$29K	$189.72	2.6× median	Above 75th
6	Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children	$29K	$202.03	2.8× median	Top 10%
7	1699703959	$26K	$109.76	1.5× median	Above Median
8	1053402040	$24K	$85.89	1.2× median	Above Median
9	1215017819	$22K	$52.70	0.7× median	Below Median
10	Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children	$21K	$71.73	1.0× median	Above Median
11	1548247000	$19K	$118.67	1.7× median	Above 75th
12	West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory	$19K	$135.45	1.9× median	Above 75th
13	1851347348	$17K	$33.47	0.5× median	Below Median
14	Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital	$16K	$55.57	0.8× median	Below Median
15	1669617197	$12K	$43.01	0.6× median	Below Median
16	1548294663	$11K	$55.10	0.8× median	Below Median
17	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$8K	$238.35	3.3× median	Top 10%
18	1194368167	$8K	$199.31	2.8× median	Top 10%
19	1780753533	$6K	$133.61	1.9× median	Above 75th
20	1942300918	$5K	$21.52	0.3× median	Below Median

Showing top 20 of 45 providers billing this code

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