31296
HCPCS Procedure Code
HCPCS code 31296 is the #4,001 most-billed Medicaid procedure code, with $941K in payments across 405 claims from 2018–2024. The national median cost per claim is $2,570.86.
Total Paid
$941K
0.00% of all spending
Total Claims
405
Providers
4
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 31296? Based on 3 providers billing this code nationally.
Median
$2,570.86
Average
$2,357.39
Std Dev
$511.32
Max
$2,727.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,172.39 and $2,649.12 per claim for this code.
90% bill between $1,933.31 and $2,696.08.
Top 1% bill above $2,724.25.
About This Procedure
HCPCS code 31296 was billed by 4 providers across 405 claims, totaling $941K in Medicaid payments from 2018–2024. This code was used for 380 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,570.86
Providers Billing
3
National Spending
$941K
Avg/Median Ratio
0.92×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.