Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8197 of 11K

31259

HCPCS Procedure Code

HCPCS code 31259 is the #8,197 most-billed Medicaid procedure code, with $5K in payments across 14 claims from 2018–2024. The national median cost per claim is $353.93.

Total Paid

$5K

0.00% of all spending

Total Claims

14

Providers

1

Avg Cost/Claim

$354

National Cost Distribution

How much do providers bill per claim for 31259? Based on 1 providers billing this code nationally.

Median

$353.93

Average

$353.93

Std Dev

Max

$353.93

Percentile Distribution (Cost per Claim)

p10
$353.93
p25
$353.93
Median
$353.93
p75
$353.93
p90
$353.93
p95
$353.93
p99
$353.93

50% of providers bill between $353.93 and $353.93 per claim for this code.

90% bill between $353.93 and $353.93.

Top 1% bill above $353.93.

About This Procedure

HCPCS code 31259 was billed by 1 providers across 14 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 14 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$353.93

Providers Billing

1

National Spending

$5K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.