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#1937 of 11K

31622

HCPCS Procedure Code

HCPCS code 31622 is the #1,937 most-billed Medicaid procedure code, with $11.3M in payments across 35K claims from 2018–2024. The national median cost per claim is $107.57. Costs vary widely — the 90th percentile is $634.69 per claim, 5.9× the median.

Total Paid

$11.3M

0.00% of all spending

Total Claims

35K

Providers

112

Avg Cost/Claim

$325

National Cost Distribution

How much do providers bill per claim for 31622? Based on 110 providers billing this code nationally.

Median

$107.57

Average

$281.22

Std Dev

$466.84

Max

$3,101.04

Percentile Distribution (Cost per Claim)

p10
$42.85
p25
$65.02
Median
$107.57
p75
$247.52
p90
$634.69
p95
$1,103.87
p99
$2,070.19

50% of providers bill between $65.02 and $247.52 per claim for this code.

90% bill between $42.85 and $634.69.

Top 1% bill above $2,070.19.

About This Procedure

HCPCS code 31622 was billed by 112 providers across 35K claims, totaling $11.3M in Medicaid payments from 2018–2024. This code was used for 29K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$107.57

Providers Billing

110

National Spending

$11.3M

Avg/Median Ratio

2.61×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 31622

#ProviderTotal Paid
11114958584$5.9M
2Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$573K
31275563447$525K
41609915784$347K
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$337K
6Egleston Children's Hospital At Emory University Inc.

Atlanta, GA · Pediatrics Pediatric Emergency Medicine

$269K
7Regents Of The University Of Michigan

Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment

$241K
8Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$237K
91093024101$214K
10Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$195K
11Scottish Rite Children's Medical Center

Atlanta, GA · Pediatrics Pediatric Hematology-Oncology

$162K
121346230968$155K
131669617197$139K
14Vanderbilt University Medical Center

Nashville, TN · Transplant Surgery

$126K
15University Physicians Incorporated

Aurora, CO · Anesthesiology

$105K
161366741548$101K
171346297843$89K
18Our Lady Of The Lake Physician Group Llc

Baton Rouge, LA · Allergy & Immunology

$87K
19University Of Kentucky

Lexington, KY · General Acute Care Hospital

$75K
201629161112$67K

Showing top 20 of 112 providers billing this code