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#2543 of 11K

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)

p10
$24.71
p25
$45.25
Median
$98.81
p75
$221.68
p90
$689.82
p95
$917.15
p99
$1,177.45

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

#ProviderTotal Paid
1Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$1.3M
2University Of Kentucky

Lexington, KY · General Acute Care Hospital

$496K
3Phoenix Children's Hospital

Phoenix, AZ · General Acute Care Hospital Children

$334K
41609915784$294K
51780797381$212K
6Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$211K
71013933167$180K
8Spectrum Health Primary Care Partners

Grand Rapids, MI · Psychologist, Clinical Child & Adolescent

$152K
9The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$149K
101518916451$131K
11Cook Children's Medical Center

Fort Worth, TX · General Acute Care Hospital Children

$103K
12Inova Health Care Services

Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder

$88K
13Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$87K
14Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$76K
15Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$73K
16Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$58K
17The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$57K
181235107566$56K
19Seattle Children's Hospital

Seattle, WA · Prosthetic/Orthotic Supplier

$53K
20State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$52K

Showing top 20 of 130 providers billing this code