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#7795 of 11K

31257

HCPCS Procedure Code

HCPCS code 31257 is the #7,795 most-billed Medicaid procedure code, with $10K in payments across 25 claims from 2018–2024. The national median cost per claim is $401.07.

Total Paid

$10K

0.00% of all spending

Total Claims

25

Providers

2

Avg Cost/Claim

$400

National Cost Distribution

How much do providers bill per claim for 31257? Based on 2 providers billing this code nationally.

Median

$401.07

Average

$401.07

Std Dev

$42.62

Max

$431.21

Percentile Distribution (Cost per Claim)

p10
$376.96
p25
$386.00
Median
$401.07
p75
$416.14
p90
$425.18
p95
$428.19
p99
$430.60

50% of providers bill between $386.00 and $416.14 per claim for this code.

90% bill between $376.96 and $425.18.

Top 1% bill above $430.60.

About This Procedure

HCPCS code 31257 was billed by 2 providers across 25 claims, totaling $10K in Medicaid payments from 2018–2024. This code was used for 24 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$401.07

Providers Billing

2

National Spending

$10K

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.