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#3560 of 11K

1431Z

HCPCS Procedure Code

HCPCS code 1431Z is the #3,560 most-billed Medicaid procedure code, with $1.5M in payments across 39K claims from 2018–2024. The national median cost per claim is $184.99.

Total Paid

$1.5M

0.00% of all spending

Total Claims

39K

Providers

2

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 1431Z? Based on 2 providers billing this code nationally.

Median

$184.99

Average

$184.99

Std Dev

$219.63

Max

$340.29

Percentile Distribution (Cost per Claim)

p10
$60.75
p25
$107.34
Median
$184.99
p75
$262.64
p90
$309.23
p95
$324.76
p99
$337.19

50% of providers bill between $107.34 and $262.64 per claim for this code.

90% bill between $60.75 and $309.23.

Top 1% bill above $337.19.

About This Procedure

HCPCS code 1431Z was billed by 2 providers across 39K claims, totaling $1.5M in Medicaid payments from 2018–2024. This code was used for 1,434 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$184.99

Providers Billing

2

National Spending

$1.5M

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.