00731
HCPCS Procedure Code
HCPCS code 00731 is the #714 most-billed Medicaid procedure code, with $99.2M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $64.75. Costs vary widely — the 90th percentile is $131.60 per claim, 2.0× the median.
Total Paid
$99.2M
0.01% of all spending
Total Claims
1.5M
Providers
2K
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for 00731? Based on 2K providers billing this code nationally.
Median
$64.75
Average
$78.61
Std Dev
$124.96
Max
$4,265.18
Percentile Distribution (Cost per Claim)
50% of providers bill between $38.56 and $96.83 per claim for this code.
90% bill between $21.44 and $131.60.
Top 1% bill above $275.87.
About This Procedure
HCPCS code 00731 was billed by 2K providers across 1.5M claims, totaling $99.2M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$64.75
Providers Billing
2K
National Spending
$99.2M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 00731
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1962701458 | $3.5M |
| 2 | 1609804541 | $1.6M |
| 3 | 1316185390 | $1.5M |
| 4 | 1508947441 | $1.4M |
| 5 | 1396131272 | $1.4M |
| 6 | 1558314427 | $1.0M |
| 7 | 1558612762 | $1.0M |
| 8 | 1649264706 | $985K |
| 9 | Montefiore Medical Center Bronx, NY · Anesthesiology | $922K |
| 10 | 1871986372 | $907K |
| 11 | 1972126209 | $895K |
| 12 | 1376774208 | $872K |
| 13 | 1821127002 | $871K |
| 14 | 1982906079 | $868K |
| 15 | 1588938682 | $854K |
| 16 | 1952392946 | $846K |
| 17 | 1417994872 | $821K |
| 18 | 1033115415 | $784K |
| 19 | 1194979740 | $755K |
| 20 | 1487602546 | $754K |
Showing top 20 of 2K providers billing this code