#4328 of 11K

29799

HCPCS Procedure Code

HCPCS code 29799 is the #4,328 most-billed Medicaid procedure code, with $658K in payments across 22K claims from 2018–2024. The national median cost per claim is $20.33. Costs vary widely — the 90th percentile is $63.81 per claim, 3.1× the median.

Total Paid

$658K

0.00% of all spending

Total Claims

22K

Providers

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for 29799? Based on 32 providers billing this code nationally.

Median

$20.33

Average

$35.44

Std Dev

$47.50

Max

$194.05

Percentile Distribution (Cost per Claim)

p10

$5.25

p25

$7.92

Median

$20.33

p75

$37.73

p90

$63.81

p95

$154.05

p99

$191.80

50% of providers bill between $7.92 and $37.73 per claim for this code.

90% bill between $5.25 and $63.81.

Top 1% bill above $191.80.

About This Procedure

HCPCS code 29799 was billed by 39 providers across 22K claims, totaling $658K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$20.33

Providers Billing

National Spending

$658K

Avg/Median Ratio

1.74×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 29799

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital	$311K	$61.50	3.0× median	Above 75th
2	1588656946	$83K	$64.06	3.2× median	Top 10%
3	1205387461	$63K	$41.60	2.0× median	Above 75th
4	1588069579	$51K	$7.55	0.4× median	Below Median
5	1891793907	$38K	$41.85	2.1× median	Above 75th
6	1134260862	$17K	$19.23	0.9× median	Below Median
7	1235332396	$17K	$20.63	1.0× median	Above Median
8	1083796726	$16K	$194.05	9.5× median	Top 1%
9	1679617229	$10K	$127.27	6.3× median	Top 10%
10	1336466879	$8K	$20.04	1.0× median	Below Median
11	1588648414	$7K	$24.84	1.2× median	Above Median
12	1699819185	$6K	$19.52	1.0× median	Below Median
13	1013013002	$5K	$23.95	1.2× median	Above Median
14	Cook Children's Physician Network Fort Worth, TX · Medical Genetics, Clinical Genetics (M.D.)	$4K	$12.11	0.6× median	Below Median
15	1003284423	$4K	$14.97	0.7× median	Below Median
16	1639366412	$4K	$32.57	1.6× median	Above Median
17	1871534297	$3K	$186.77	9.2× median	Top 10%
18	1245455146	$2K	$6.63	0.3× median	Below Median
19	1700283793	$2K	$43.20	2.1× median	Above 75th
20	1215012331	$1K	$28.67	1.4× median	Above Median

Showing top 20 of 39 providers billing this code

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