0129
HCPCS Procedure Code
HCPCS code 0129 is the #2,435 most-billed Medicaid procedure code, with $5.8M in payments across 5K claims from 2018–2024. The national median cost per claim is $509.00. Costs vary widely — the 90th percentile is $9,920.21 per claim, 19.5× the median.
Total Paid
$5.8M
0.00% of all spending
Total Claims
5K
Providers
3
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 0129? Based on 3 providers billing this code nationally.
Median
$509.00
Average
$4,357.74
Std Dev
$6,855.69
Max
$12,273.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $400.10 and $6,391.01 per claim for this code.
90% bill between $334.77 and $9,920.21.
Top 1% bill above $12,037.74.
About This Procedure
HCPCS code 0129 was billed by 3 providers across 5K claims, totaling $5.8M in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$509.00
Providers Billing
3
National Spending
$5.8M
Avg/Median Ratio
8.56×
Highly skewed — outlier-driven
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.