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#6751 of 11K

21031

HCPCS Procedure Code

HCPCS code 21031 is the #6,751 most-billed Medicaid procedure code, with $44K in payments across 134 claims from 2018–2024. The national median cost per claim is $331.85.

Total Paid

$44K

0.00% of all spending

Total Claims

134

Providers

1

Avg Cost/Claim

$332

National Cost Distribution

How much do providers bill per claim for 21031? Based on 1 providers billing this code nationally.

Median

$331.85

Average

$331.85

Std Dev

Max

$331.85

Percentile Distribution (Cost per Claim)

p10
$331.85
p25
$331.85
Median
$331.85
p75
$331.85
p90
$331.85
p95
$331.85
p99
$331.85

50% of providers bill between $331.85 and $331.85 per claim for this code.

90% bill between $331.85 and $331.85.

Top 1% bill above $331.85.

About This Procedure

HCPCS code 21031 was billed by 1 providers across 134 claims, totaling $44K in Medicaid payments from 2018–2024. This code was used for 134 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$331.85

Providers Billing

1

National Spending

$44K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.