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#6007 of 11K

31287

HCPCS Procedure Code

HCPCS code 31287 is the #6,007 most-billed Medicaid procedure code, with $107K in payments across 65 claims from 2018–2024. The national median cost per claim is $108.34. Costs vary widely — the 90th percentile is $2,284.20 per claim, 21.1× the median.

Total Paid

$107K

0.00% of all spending

Total Claims

65

Providers

3

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for 31287? Based on 3 providers billing this code nationally.

Median

$108.34

Average

$1,006.88

Std Dev

$1,577.32

Max

$2,828.16

Percentile Distribution (Cost per Claim)

p10
$88.99
p25
$96.24
Median
$108.34
p75
$1,468.25
p90
$2,284.20
p95
$2,556.18
p99
$2,773.77

50% of providers bill between $96.24 and $1,468.25 per claim for this code.

90% bill between $88.99 and $2,284.20.

Top 1% bill above $2,773.77.

About This Procedure

HCPCS code 31287 was billed by 3 providers across 65 claims, totaling $107K in Medicaid payments from 2018–2024. This code was used for 61 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$108.34

Providers Billing

3

National Spending

$107K

Avg/Median Ratio

9.29×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.