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#1036 of 11K

94729

HCPCS Procedure Code

HCPCS code 94729 is the #1,036 most-billed Medicaid procedure code, with $46.6M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $12.24. Costs vary widely — the 90th percentile is $45.72 per claim, 3.7× the median.

Total Paid

$46.6M

0.00% of all spending

Total Claims

2.2M

Providers

3,490

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for 94729? Based on 3,318 providers billing this code nationally.

Median

$12.24

Average

$20.28

Std Dev

$22.97

Max

$324.60

Percentile Distribution (Cost per Claim)

p10
$2.91
p25
$4.89
Median
$12.24
p75
$29.75
p90
$45.72
p95
$56.93
p99
$110.79

50% of providers bill between $4.89 and $29.75 per claim for this code.

90% bill between $2.91 and $45.72.

Top 1% bill above $110.79.

About This Procedure

HCPCS code 94729 was billed by 3,490 providers across 2.2M claims, totaling $46.6M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.24

Providers Billing

3,318

National Spending

$46.6M

Avg/Median Ratio

1.66×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 94729

#ProviderTotal Paid
11851352678$1.1M
2Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$893K
3Newark Beth Israel Medical Center Inc

Newark, NJ · General Acute Care Hospital

$695K
4Hmh Hospitals Corporation

Hackensack, NJ · Ambulance

$660K
5The Cooper Health System

Camden, NJ · General Acute Care Hospital

$478K
6University Of Kentucky

Lexington, KY · General Acute Care Hospital

$432K
71639371586$427K
81790930618$333K
9Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$304K
101780670919$284K
11The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$282K
12Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$265K
13Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$264K
14Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$257K
15New York University

Boynton Beach, FL · Anesthesiology

$245K
161386091486$243K
17North Shore-lij Medical Pc

Great Neck, NY · Urology

$243K
18Baystate Medical Center Inc

Springfield, MA · General Acute Care Hospital

$242K
191033244348$239K
201629511886$231K

Showing top 20 of 3,490 providers billing this code