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#2489 of 11K

51729

HCPCS Procedure Code

HCPCS code 51729 is the #2,489 most-billed Medicaid procedure code, with $5.4M in payments across 31K claims from 2018–2024. The national median cost per claim is $175.67. Costs vary widely — the 90th percentile is $361.65 per claim, 2.1× the median.

Total Paid

$5.4M

0.00% of all spending

Total Claims

31K

Providers

120

Avg Cost/Claim

$175

National Cost Distribution

How much do providers bill per claim for 51729? Based on 118 providers billing this code nationally.

Median

$175.67

Average

$196.94

Std Dev

$134.37

Max

$845.90

Percentile Distribution (Cost per Claim)

p10
$47.24
p25
$97.89
Median
$175.67
p75
$267.65
p90
$361.65
p95
$408.95
p99
$588.33

50% of providers bill between $97.89 and $267.65 per claim for this code.

90% bill between $47.24 and $361.65.

Top 1% bill above $588.33.

About This Procedure

HCPCS code 51729 was billed by 120 providers across 31K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 30K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$175.67

Providers Billing

118

National Spending

$5.4M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 51729

#ProviderTotal Paid
11255983730$1.1M
21770051690$658K
31396794574$632K
41982017760$253K
51336361831$206K
6Women & Infants Hospital Of Rhode Island

Providence, RI · Clinic/Center, Ambulatory Family Planning Facility

$171K
71861821787$171K
8Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$139K
91780772061$136K
101235133208$118K
111215991856$116K
121942475793$90K
131366446825$87K
141417976705$81K
151114958584$73K
161932608106$72K
17Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$71K
181063663433$64K
191952328718$61K
20Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$59K

Showing top 20 of 120 providers billing this code