#1219 of 11K

99429

HCPCS Procedure Code

HCPCS code 99429 is the #1,219 most-billed Medicaid procedure code, with $32.9M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $28.58.

Total Paid

$32.9M

0.00% of all spending

Total Claims

1.4M

Providers

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 99429? Based on 777 providers billing this code nationally.

Median

$28.58

Average

$36.40

Std Dev

$77.93

Max

$1,270.70

Percentile Distribution (Cost per Claim)

p10

$5.77

p25

$14.17

Median

$28.58

p75

$32.93

p90

$37.05

p95

$77.04

p99

$309.76

50% of providers bill between $14.17 and $32.93 per claim for this code.

90% bill between $5.77 and $37.05.

Top 1% bill above $309.76.

About This Procedure

HCPCS code 99429 was billed by 2K providers across 1.4M claims, totaling $32.9M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.58

Providers Billing

777

National Spending

$32.9M

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 99429

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Topcare Medical Group Inc Dallas, TX · Pediatrics	$4.0M	$24.64	0.9× median	Below Median
2	1912645136	$1.0M	$1,270.70	44.5× median	Top 1%
3	1164471116	$792K	$36.43	1.3× median	Above 75th
4	Guardiantrac. Llc Sturgis, MI · Community/Behavioral Health	$605K	$80.06	2.8× median	Top 10%
5	1871172957	$574K	$17.57	0.6× median	Below Median
6	1669708780	$533K	$32.34	1.1× median	Above Median
7	1598144768	$504K	$31.34	1.1× median	Above Median
8	1144275777	$473K	$26.34	0.9× median	Below Median
9	1881742575	$426K	$18.82	0.7× median	Below Median
10	1104005594	$407K	$14.94	0.5× median	Below Median
11	1730337163	$392K	$23.07	0.8× median	Below Median
12	1790078426	$380K	$33.84	1.2× median	Above 75th
13	1669793758	$333K	$31.86	1.1× median	Above Median
14	1477934578	$323K	$23.79	0.8× median	Below Median
15	1609066257	$264K	$30.28	1.1× median	Above Median
16	1295801421	$260K	$460.89	16.1× median	Top 1%
17	1225498231	$260K	$30.38	1.1× median	Above Median
18	1932252244	$259K	$15.24	0.5× median	Below Median
19	1417125642	$252K	$36.14	1.3× median	Above 75th
20	1154425494	$240K	$38.20	1.3× median	Top 10%

Showing top 20 of 2K providers billing this code

Related Procedures

99423Online digital E/M, 21+ min$13.6M 99439$11.0M 99421Online digital E/M, 5-10 min$6.2M 99422Online digital E/M, 11-20 min$4.2M 99424$1.8M

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