31276
HCPCS Procedure Code
HCPCS code 31276 is the #4,855 most-billed Medicaid procedure code, with $372K in payments across 255 claims from 2018–2024. The national median cost per claim is $277.39. Costs vary widely — the 90th percentile is $3,173.28 per claim, 11.4× the median.
Total Paid
$372K
0.00% of all spending
Total Claims
255
Providers
6
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 31276? Based on 6 providers billing this code nationally.
Median
$277.39
Average
$1,204.88
Std Dev
$1,960.58
Max
$5,118.66
Percentile Distribution (Cost per Claim)
50% of providers bill between $172.28 and $1,011.00 per claim for this code.
90% bill between $163.97 and $3,173.28.
Top 1% bill above $4,924.12.
About This Procedure
HCPCS code 31276 was billed by 6 providers across 255 claims, totaling $372K in Medicaid payments from 2018–2024. This code was used for 230 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$277.39
Providers Billing
6
National Spending
$372K
Avg/Median Ratio
4.34×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31276
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1154310514 | $189K |
| 2 | 1306843222 | $163K |
| 3 | 1194060350 | $10K |
| 4 | 1336362722 | $5K |
| 5 | 1679509962 | $3K |
| 6 | 1942489042 | $2K |
Showing top 6 of 6 providers billing this code