31624
HCPCS Procedure Code
HCPCS code 31624 is the #2,543 most-billed Medicaid procedure code, with $5.1M in payments across 24K claims from 2018–2024. The national median cost per claim is $98.81. Costs vary widely — the 90th percentile is $689.82 per claim, 7.0× the median.
Total Paid
$5.1M
0.00% of all spending
Total Claims
24K
Providers
130
Avg Cost/Claim
$215
National Cost Distribution
How much do providers bill per claim for 31624? Based on 126 providers billing this code nationally.
Median
$98.81
Average
$227.42
Std Dev
$338.76
Max
$2,520.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $45.25 and $221.68 per claim for this code.
90% bill between $24.71 and $689.82.
Top 1% bill above $1,177.45.
About This Procedure
HCPCS code 31624 was billed by 130 providers across 24K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.81
Providers Billing
126
National Spending
$5.1M
Avg/Median Ratio
2.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31624
| # | Provider | Total Paid |
|---|---|---|
| 1 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $1.3M |
| 2 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $496K |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $334K |
| 4 | 1609915784 | $294K |
| 5 | 1780797381 | $212K |
| 6 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $211K |
| 7 | 1013933167 | $180K |
| 8 | Spectrum Health Primary Care Partners Grand Rapids, MI · Psychologist, Clinical Child & Adolescent | $152K |
| 9 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $149K |
| 10 | 1518916451 | $131K |
| 11 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $103K |
| 12 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $88K |
| 13 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $87K |
| 14 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $76K |
| 15 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $73K |
| 16 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $58K |
| 17 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $57K |
| 18 | 1235107566 | $56K |
| 19 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $53K |
| 20 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $52K |
Showing top 20 of 130 providers billing this code