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#8322 of 11K

20931

HCPCS Procedure Code

HCPCS code 20931 is the #8,322 most-billed Medicaid procedure code, with $4K in payments across 98 claims from 2018–2024. The national median cost per claim is $40.79.

Total Paid

$4K

0.00% of all spending

Total Claims

98

Providers

4

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 20931? Based on 4 providers billing this code nationally.

Median

$40.79

Average

$40.49

Std Dev

$12.24

Max

$51.41

Percentile Distribution (Cost per Claim)

p10
$29.54
p25
$30.37
Median
$40.79
p75
$50.91
p90
$51.21
p95
$51.31
p99
$51.39

50% of providers bill between $30.37 and $50.91 per claim for this code.

90% bill between $29.54 and $51.21.

Top 1% bill above $51.39.

About This Procedure

HCPCS code 20931 was billed by 4 providers across 98 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 80 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$40.79

Providers Billing

4

National Spending

$4K

Avg/Median Ratio

0.99×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.