31295
HCPCS Procedure Code
HCPCS code 31295 is the #2,692 most-billed Medicaid procedure code, with $4.1M in payments across 4,600 claims from 2018–2024. The national median cost per claim is $866.73. Costs vary widely — the 90th percentile is $1,754.48 per claim, 2.0× the median.
Total Paid
$4.1M
0.00% of all spending
Total Claims
4,600
Providers
23
Avg Cost/Claim
$894
National Cost Distribution
How much do providers bill per claim for 31295? Based on 23 providers billing this code nationally.
Median
$866.73
Average
$1,061.58
Std Dev
$577.36
Max
$2,442.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $704.42 and $1,411.72 per claim for this code.
90% bill between $528.68 and $1,754.48.
Top 1% bill above $2,360.42.
About This Procedure
HCPCS code 31295 was billed by 23 providers across 4,600 claims, totaling $4.1M in Medicaid payments from 2018–2024. This code was used for 3,913 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$866.73
Providers Billing
23
National Spending
$4.1M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31295
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1477957504 | $1.2M |
| 2 | 1467491423 | $506K |
| 3 | 1639230220 | $464K |
| 4 | 1174724199 | $352K |
| 5 | 1558636845 | $269K |
| 6 | 1194968081 | $232K |
| 7 | 1013030618 | $216K |
| 8 | 1811365703 | $178K |
| 9 | 1134304595 | $141K |
| 10 | 1285716886 | $115K |
| 11 | 1801374228 | $109K |
| 12 | 1952623100 | $60K |
| 13 | 1689770174 | $34K |
| 14 | 1720262108 | $33K |
| 15 | 1710113949 | $32K |
| 16 | 1235198250 | $27K |
| 17 | 1811992761 | $21K |
| 18 | 1063643641 | $19K |
| 19 | 1538302997 | $18K |
| 20 | 1386648798 | $17K |
Showing top 20 of 23 providers billing this code