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#772 of 11K

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)

p10
$24.33
p25
$112.84
Median
$372.17
p75
$704.01
p90
$984.38
p95
$1,038.71
p99
$1,367.56

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

#ProviderTotal Paid
1Genedx Llc

Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics

$15.6M
21699095901$12.7M
3Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$10.9M
41669463014$3.9M
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$3.3M
6Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$3.1M
71629109137$2.7M
8Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$2.4M
9Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$2.3M
10Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2.2M
11Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$2.0M
12Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$1.6M
13Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.5M
14State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$1.3M
15Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$958K
16Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$930K
17Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$887K
18Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$866K
19Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$794K
20University Of Kentucky

Lexington, KY · General Acute Care Hospital

$739K

Showing top 20 of 126 providers billing this code