81229
HCPCS Procedure Code
HCPCS code 81229 is the #772 most-billed Medicaid procedure code, with $84.5M in payments across 211K claims from 2018–2024. The national median cost per claim is $372.17. Costs vary widely — the 90th percentile is $984.38 per claim, 2.6× the median.
Total Paid
$84.5M
0.01% of all spending
Total Claims
211K
Providers
126
Avg Cost/Claim
$400
National Cost Distribution
How much do providers bill per claim for 81229? Based on 117 providers billing this code nationally.
Median
$372.17
Average
$437.08
Std Dev
$369.19
Max
$1,989.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $112.84 and $704.01 per claim for this code.
90% bill between $24.33 and $984.38.
Top 1% bill above $1,367.56.
About This Procedure
HCPCS code 81229 was billed by 126 providers across 211K claims, totaling $84.5M in Medicaid payments from 2018–2024. This code was used for 193K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$372.17
Providers Billing
117
National Spending
$84.5M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 81229
| # | Provider | Total Paid |
|---|---|---|
| 1 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $15.6M |
| 2 | 1699095901 | $12.7M |
| 3 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $10.9M |
| 4 | 1669463014 | $3.9M |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $3.3M |
| 6 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $3.1M |
| 7 | 1629109137 | $2.7M |
| 8 | Natera Inc. San Carlos, CA · Clinical Medical Laboratory | $2.4M |
| 9 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $2.3M |
| 10 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $2.2M |
| 11 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $2.0M |
| 12 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $1.6M |
| 13 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.5M |
| 14 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $1.3M |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $958K |
| 16 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $930K |
| 17 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $887K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $866K |
| 19 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $794K |
| 20 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $739K |
Showing top 20 of 126 providers billing this code