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)
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.