97129
HCPCS Procedure Code
HCPCS code 97129 is the #957 most-billed Medicaid procedure code, with $54.4M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $17.39. Costs vary widely — the 90th percentile is $79.09 per claim, 4.5× the median.
Total Paid
$54.4M
0.00% of all spending
Total Claims
2.3M
Providers
417
Avg Cost/Claim
$24
National Cost Distribution
How much do providers bill per claim for 97129? Based on 368 providers billing this code nationally.
Median
$17.39
Average
$30.87
Std Dev
$39.54
Max
$357.58
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.94 and $36.37 per claim for this code.
90% bill between $1.63 and $79.09.
Top 1% bill above $185.54.
About This Procedure
HCPCS code 97129 was billed by 417 providers across 2.3M claims, totaling $54.4M in Medicaid payments from 2018–2024. This code was used for 497K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.39
Providers Billing
368
National Spending
$54.4M
Avg/Median Ratio
1.78×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 97129
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bilinguals Inc. Forest Hills, NY · Early Intervention Provider Agency | $8.4M |
| 2 | 1912166075 | $5.8M |
| 3 | 1730334426 | $2.1M |
| 4 | 1447400122 | $1.9M |
| 5 | 1679920490 | $1.7M |
| 6 | 1740596568 | $1.4M |
| 7 | 1679617955 | $1.2M |
| 8 | 1619113255 | $1.1M |
| 9 | 1912131368 | $1.0M |
| 10 | 1346517653 | $992K |
| 11 | 1831441054 | $957K |
| 12 | 1568607042 | $823K |
| 13 | 1750698353 | $805K |
| 14 | 1033426739 | $778K |
| 15 | 1194977363 | $771K |
| 16 | 1629002936 | $766K |
| 17 | 1629409867 | $749K |
| 18 | 1669513404 | $725K |
| 19 | 1114262318 | $719K |
| 20 | 1700208709 | $687K |
Showing top 20 of 417 providers billing this code