31627
HCPCS Procedure Code
HCPCS code 31627 is the #7,412 most-billed Medicaid procedure code, with $19K in payments across 122 claims from 2018–2024. The national median cost per claim is $28.07. Costs vary widely — the 90th percentile is $272.33 per claim, 9.7× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
122
Providers
5
Avg Cost/Claim
$152
National Cost Distribution
How much do providers bill per claim for 31627? Based on 4 providers billing this code nationally.
Median
$28.07
Average
$109.43
Std Dev
$177.89
Max
$375.78
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.37 and $117.14 per claim for this code.
90% bill between $11.63 and $272.33.
Top 1% bill above $365.44.
About This Procedure
HCPCS code 31627 was billed by 5 providers across 122 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 107 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$28.07
Providers Billing
4
National Spending
$19K
Avg/Median Ratio
3.90×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 31627
| # | Provider | Total Paid |
|---|---|---|
| 1 | Our Lady Of The Lake Physician Group Llc Baton Rouge, LA · Allergy & Immunology | $18K |
| 2 | 1003882812 | $378 |
| 3 | 1851574453 | $371 |
| 4 | 1043260474 | $122 |
| 5 | Our Lady Of The Lake Hospital Inc. Baton Rouge, LA · General Acute Care Hospital | $0 |
Showing top 5 of 5 providers billing this code