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#2692 of 11K

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)

p10
$528.68
p25
$704.42
Median
$866.73
p75
$1,411.72
p90
$1,754.48
p95
$2,038.34
p99
$2,360.42

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

#ProviderTotal Paid
11477957504$1.2M
21467491423$506K
31639230220$464K
41174724199$352K
51558636845$269K
61194968081$232K
71013030618$216K
81811365703$178K
91134304595$141K
101285716886$115K
111801374228$109K
121952623100$60K
131689770174$34K
141720262108$33K
151710113949$32K
161235198250$27K
171811992761$21K
181063643641$19K
191538302997$18K
201386648798$17K

Showing top 20 of 23 providers billing this code