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#5682 of 11K

31000

HCPCS Procedure Code

HCPCS code 31000 is the #5,682 most-billed Medicaid procedure code, with $155K in payments across 2,009 claims from 2018–2024. The national median cost per claim is $99.30.

Total Paid

$155K

0.00% of all spending

Total Claims

2,009

Providers

19

Avg Cost/Claim

$77

National Cost Distribution

How much do providers bill per claim for 31000? Based on 15 providers billing this code nationally.

Median

$99.30

Average

$88.20

Std Dev

$60.64

Max

$214.26

Percentile Distribution (Cost per Claim)

p10
$17.38
p25
$31.87
Median
$99.30
p75
$128.22
p90
$151.48
p95
$176.62
p99
$206.73

50% of providers bill between $31.87 and $128.22 per claim for this code.

90% bill between $17.38 and $151.48.

Top 1% bill above $206.73.

About This Procedure

HCPCS code 31000 was billed by 19 providers across 2,009 claims, totaling $155K in Medicaid payments from 2018–2024. This code was used for 1,759 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$99.30

Providers Billing

15

National Spending

$155K

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31000

#ProviderTotal Paid
11588847107$62K
21508858937$24K
31124079769$21K
41972630705$13K
51801984596$10K
61427035211$6K
71861629073$4K
81083759641$4K
91841484235$3K
101134569049$3K
111376598326$2K
121821194978$2K
131144227539$1K
141487706214$302
151043402621$245
161427229384$0
171164750840$0
181659473916$0
191073990867$0

Showing top 19 of 19 providers billing this code

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