31254
HCPCS Procedure Code
HCPCS code 31254 is the #6,407 most-billed Medicaid procedure code, with $68K in payments across 65 claims from 2018–2024. The national median cost per claim is $764.10.
Total Paid
$68K
0.00% of all spending
Total Claims
65
Providers
2
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 31254? Based on 2 providers billing this code nationally.
Median
$764.10
Average
$764.10
Std Dev
$627.22
Max
$1,207.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $542.35 and $985.86 per claim for this code.
90% bill between $409.30 and $1,118.91.
Top 1% bill above $1,198.74.
About This Procedure
HCPCS code 31254 was billed by 2 providers across 65 claims, totaling $68K in Medicaid payments from 2018–2024. This code was used for 64 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$764.10
Providers Billing
2
National Spending
$68K
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.