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#2487 of 11K

31298

HCPCS Procedure Code

HCPCS code 31298 is the #2,487 most-billed Medicaid procedure code, with $5.4M in payments across 1,976 claims from 2018–2024. The national median cost per claim is $3,319.16.

Total Paid

$5.4M

0.00% of all spending

Total Claims

1,976

Providers

19

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for 31298? Based on 18 providers billing this code nationally.

Median

$3,319.16

Average

$3,300.67

Std Dev

$875.81

Max

$5,112.41

Percentile Distribution (Cost per Claim)

p10
$2,401.89
p25
$2,878.35
Median
$3,319.16
p75
$3,968.60
p90
$4,227.89
p95
$4,431.57
p99
$4,976.25

50% of providers bill between $2,878.35 and $3,968.60 per claim for this code.

90% bill between $2,401.89 and $4,227.89.

Top 1% bill above $4,976.25.

About This Procedure

HCPCS code 31298 was billed by 19 providers across 1,976 claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 1,752 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$3,319.16

Providers Billing

18

National Spending

$5.4M

Avg/Median Ratio

0.99×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 31298

#ProviderTotal Paid
11477957504$1.4M
21174724199$1.2M
31134304595$804K
41013030618$608K
51467491423$432K
61801374228$195K
71952623100$102K
81811365703$97K
91689770174$86K
101194968081$67K
111538302997$61K
121063643641$55K
131558636845$52K
141659607414$49K
151700966090$48K
161316065972$35K
171720262108$34K
181386648798$34K
191265437644$0

Showing top 19 of 19 providers billing this code