31255
HCPCS Procedure Code
HCPCS code 31255 is the #6,972 most-billed Medicaid procedure code, with $34K in payments across 98 claims from 2018–2024. The national median cost per claim is $387.29.
Total Paid
$34K
0.00% of all spending
Total Claims
98
Providers
2
Avg Cost/Claim
$346
National Cost Distribution
How much do providers bill per claim for 31255? Based on 2 providers billing this code nationally.
Median
$387.29
Average
$387.29
Std Dev
$202.61
Max
$530.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $315.65 and $458.92 per claim for this code.
90% bill between $272.67 and $501.90.
Top 1% bill above $527.69.
About This Procedure
HCPCS code 31255 was billed by 2 providers across 98 claims, totaling $34K in Medicaid payments from 2018–2024. This code was used for 69 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$387.29
Providers Billing
2
National Spending
$34K
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.