31623
HCPCS Procedure Code
HCPCS code 31623 is the #5,286 most-billed Medicaid procedure code, with $240K in payments across 2,733 claims from 2018–2024. The national median cost per claim is $54.73. Costs vary widely — the 90th percentile is $266.47 per claim, 4.9× the median.
Total Paid
$240K
0.00% of all spending
Total Claims
2,733
Providers
11
Avg Cost/Claim
$88
National Cost Distribution
How much do providers bill per claim for 31623? Based on 10 providers billing this code nationally.
Median
$54.73
Average
$238.54
Std Dev
$572.76
Max
$1,867.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.94 and $84.44 per claim for this code.
90% bill between $27.91 and $266.47.
Top 1% bill above $1,707.30.
About This Procedure
HCPCS code 31623 was billed by 11 providers across 2,733 claims, totaling $240K in Medicaid payments from 2018–2024. This code was used for 2,673 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$54.73
Providers Billing
10
National Spending
$240K
Avg/Median Ratio
4.36×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31623
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780797381 | $123K |
| 2 | 1356410351 | $76K |
| 3 | 1639172372 | $26K |
| 4 | 1568566131 | $5K |
| 5 | 1003981549 | $4K |
| 6 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $2K |
| 7 | Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology | $2K |
| 8 | 1871567479 | $2K |
| 9 | 1316228802 | $537 |
| 10 | 1174744304 | $369 |
| 11 | 1346250594 | $0 |
Showing top 11 of 11 providers billing this code