31561
HCPCS Procedure Code
HCPCS code 31561 is the #6,583 most-billed Medicaid procedure code, with $54K in payments across 233 claims from 2018–2024. The national median cost per claim is $209.20.
Total Paid
$54K
0.00% of all spending
Total Claims
233
Providers
3
Avg Cost/Claim
$231
National Cost Distribution
How much do providers bill per claim for 31561? Based on 3 providers billing this code nationally.
Median
$209.20
Average
$205.28
Std Dev
$33.29
Max
$236.44
Percentile Distribution (Cost per Claim)
50% of providers bill between $189.71 and $222.82 per claim for this code.
90% bill between $178.01 and $230.99.
Top 1% bill above $235.89.
About This Procedure
HCPCS code 31561 was billed by 3 providers across 233 claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 225 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$209.20
Providers Billing
3
National Spending
$54K
Avg/Median Ratio
0.98×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.