How much does Medicare pay for CPT 29125?

Medicare allowed an average of $61.34 per service and paid $46.98 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $249.30, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 29125?

Application of nonmoveable forearm to hand splint. It was billed 11,919 times to 10,363 Medicare beneficiaries by 513 providers in 2024.

Does 29125 pay differently in an office than a hospital?

Yes. The allowed amount averaged $65.38 in an office setting and $23.46 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 29125 most?

Hand Surgery, with 5,024 services from 183 clinicians. Next are Orthopedic Surgery, Physician Assistant, Occupational Therapist in Private Practice.

CPT 29125

Application of nonmoveable forearm to hand splint

$61.34Medicare-allowed amount per service, averaged across 11,919 services

Providers submitted

$249.30

Asking price, not received

Medicare allowed

$61.34

The fee schedule figure

Medicare paid

$46.98

Balance is patient coinsurance

Providers submitted an average of $249.30 for this code and Medicare allowed $61.34 — 4.1× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $46.98 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $65.38
Hospital / facility: $23.46

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 10,772 services were billed in an office setting and 1,147 in a facility.

Services: 11,919
Beneficiaries: 10,363
Providers billing it: 513
Total allowed: $731,111

What Medicare pays for CPT 29125

Across 11,919 services billed by 513 providers to 10,363 beneficiaries, Medicare allowed an average of $61.34 per service. That is 1.2 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 29125

Specialty	Services	Beneficiaries	Avg allowed	Providers
Hand Surgery	5,024	4,236	$61.84	183
Orthopedic Surgery	2,793	2,519	$63.50	126
Physician Assistant	2,030	1,779	$56.23	107
Occupational Therapist in Private Practice	641	544	$69.06	33
Plastic and Reconstructive Surgery	363	305	$52.67	13
General Surgery	338	275	$70.21	7
Nurse Practitioner	328	316	$52.42	18
Emergency Medicine	153	145	$55.74	10
Family Practice	146	144	$67.22	10
Internal Medicine	54	53	$65.35	3
Sports Medicine	21	20	$69.37	1
Dermatology	17	16	$34.47	1
General Practice	11	11	$65.06	1

29125 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
California	2,160	$62.35	$42.66	71
Florida	1,667	$59.49	$45.07	59
New York	1,050	$72.95	$49.20	33
Texas	567	$56.21	$43.25	28
New Jersey	451	$75.05	$51.79	19
Virginia	439	$51.61	$39.16	18
Georgia	401	$62.93	$48.64	16
Minnesota	369	$66.37	$52.06	20
Pennsylvania	366	$56.94	$43.69	19
Arkansas	356	$52.26	$44.17	15
Michigan	348	$62.23	$48.04	15
North Carolina	295	$54.38	$43.64	15
Massachusetts	290	$69.37	$49.17	16
Maryland	275	$63.99	$45.00	19
Illinois	260	$64.35	$48.20	16
Wisconsin	206	$62.12	$50.28	8
South Carolina	181	$58.85	$47.56	8
Indiana	178	$60.78	$47.92	4
Tennessee	156	$57.77	$47.88	9
Oklahoma	148	$51.60	$42.41	9
Arizona	141	$59.36	$43.97	8
Mississippi	135	$48.88	$39.31	7
Nevada	130	$61.66	$48.79	7
Delaware	125	$40.54	$32.43	3
Connecticut	123	$66.01	$45.16	3
Kansas	120	$57.26	$47.23	7
Colorado	102	$63.95	$46.35	7
Ohio	100	$63.36	$48.59	4
Alaska	96	$69.07	$44.47	5
Missouri	94	$51.03	$38.70	7
Kentucky	92	$58.32	$47.93	6
Washington	90	$58.41	$40.30	6
Oregon	88	$53.34	$44.00	5
Nebraska	84	$61.42	$52.33	5
Iowa	48	$57.57	$47.52	4
Louisiana	42	$58.20	$48.29	3
Alabama	42	$30.77	$25.18	2
Rhode Island	39	$60.19	$48.39	3
Maine	27	$52.42	$42.57	2
Idaho	23	$60.95	$50.83	1
District of Columbia	15	$41.06	$24.30	1

Related codes

29130Application of nonmoveable finger splint$37.77

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.