31541
HCPCS Procedure Code
HCPCS code 31541 is the #5,962 most-billed Medicaid procedure code, with $114K in payments across 352 claims from 2018–2024. The national median cost per claim is $367.57. Costs vary widely — the 90th percentile is $1,301.10 per claim, 3.5× the median.
Total Paid
$114K
0.00% of all spending
Total Claims
352
Providers
4
Avg Cost/Claim
$323
National Cost Distribution
How much do providers bill per claim for 31541? Based on 4 providers billing this code nationally.
Median
$367.57
Average
$650.76
Std Dev
$688.51
Max
$1,673.14
Percentile Distribution (Cost per Claim)
50% of providers bill between $275.29 and $743.04 per claim for this code.
90% bill between $226.97 and $1,301.10.
Top 1% bill above $1,635.94.
About This Procedure
HCPCS code 31541 was billed by 4 providers across 352 claims, totaling $114K in Medicaid payments from 2018–2024. This code was used for 306 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$367.57
Providers Billing
4
National Spending
$114K
Avg/Median Ratio
1.77×
Moderately skewed
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.