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#3538 of 11K

C1729

HCPCS Procedure Code

HCPCS code C1729 is the #3,538 most-billed Medicaid procedure code, with $1.5M in payments across 152K claims from 2018–2024. The national median cost per claim is $4.52. Costs vary widely — the 90th percentile is $50.89 per claim, 11.3× the median.

Total Paid

$1.5M

0.00% of all spending

Total Claims

152K

Providers

264

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for C1729? Based on 160 providers billing this code nationally.

Median

$4.52

Average

$17.29

Std Dev

$34.99

Max

$285.38

Percentile Distribution (Cost per Claim)

p10
$0.13
p25
$0.75
Median
$4.52
p75
$14.44
p90
$50.89
p95
$82.12
p99
$144.59

50% of providers bill between $0.75 and $14.44 per claim for this code.

90% bill between $0.13 and $50.89.

Top 1% bill above $144.59.

About This Procedure

HCPCS code C1729 was billed by 264 providers across 152K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 111K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.52

Providers Billing

160

National Spending

$1.5M

Avg/Median Ratio

3.83×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for C1729

#ProviderTotal Paid
11235371378$185K
21639128820$161K
3The Cooper Health System

Camden, NJ · General Acute Care Hospital

$136K
4Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$95K
51639116726$87K
61144228446$83K
7University Of Kentucky

Lexington, KY · General Acute Care Hospital

$67K
81073518007$65K
9Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$52K
10University Of California Irvine

Orange, CA · General Acute Care Hospital

$46K
11Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$42K
12Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$42K
131285688267$28K
141295106870$27K
15Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$26K
161437119310$21K
17Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$18K
181811957681$17K
191356366314$17K
20Tucson Medical Center

Tucson, AZ · Clinic/Center, Hearing and Speech

$16K

Showing top 20 of 264 providers billing this code