Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2552 of 11K

29515

HCPCS Procedure Code

HCPCS code 29515 is the #2,552 most-billed Medicaid procedure code, with $5.0M in payments across 109K claims from 2018–2024. The national median cost per claim is $33.24. Costs vary widely — the 90th percentile is $157.04 per claim, 4.7× the median.

Total Paid

$5.0M

0.00% of all spending

Total Claims

109K

Providers

473

Avg Cost/Claim

$46

National Cost Distribution

How much do providers bill per claim for 29515? Based on 439 providers billing this code nationally.

Median

$33.24

Average

$58.20

Std Dev

$65.66

Max

$336.07

Percentile Distribution (Cost per Claim)

p10
$3.78
p25
$10.82
Median
$33.24
p75
$73.19
p90
$157.04
p95
$210.50
p99
$267.63

50% of providers bill between $10.82 and $73.19 per claim for this code.

90% bill between $3.78 and $157.04.

Top 1% bill above $267.63.

About This Procedure

HCPCS code 29515 was billed by 473 providers across 109K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 101K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.24

Providers Billing

439

National Spending

$5.0M

Avg/Median Ratio

1.75×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 29515

#ProviderTotal Paid
11407877137$335K
2Public Hospital District 1 Of King County

Renton, WA · General Acute Care Hospital

$273K
3City Medical Of Upper East Side Pllc

New York, NY · Clinic/Center Urgent Care

$206K
4Childrens Hospital Of The Kings Daughters Inc

Norfolk, VA · Social Worker, Clinical

$186K
5Samaritan Hospital Of Troy, New York

Troy, NY

$155K
6New York Network Ipa Inc

Brooklyn, NY · Exclusive Provider Organization

$134K
7Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$125K
81255692703$109K
91760454334$104K
101437774882$102K
111093756025$96K
12Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$92K
131043437544$77K
141609192319$74K
15The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$70K
16Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$67K
17Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$59K
18Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$58K
191730193244$58K
20St Elizabeth Medical Center, Inc

Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier

$56K

Showing top 20 of 473 providers billing this code

Related Procedures