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#7242 of 11K

31629

HCPCS Procedure Code

HCPCS code 31629 is the #7,242 most-billed Medicaid procedure code, with $24K in payments across 268 claims from 2018–2024. The national median cost per claim is $95.70. Costs vary widely — the 90th percentile is $410.91 per claim, 4.3× the median.

Total Paid

$24K

0.00% of all spending

Total Claims

268

Providers

8

Avg Cost/Claim

$88

National Cost Distribution

How much do providers bill per claim for 31629? Based on 6 providers billing this code nationally.

Median

$95.70

Average

$180.26

Std Dev

$183.21

Max

$457.17

Percentile Distribution (Cost per Claim)

p10
$34.18
p25
$51.59
Median
$95.70
p75
$299.38
p90
$410.91
p95
$434.04
p99
$452.55

50% of providers bill between $51.59 and $299.38 per claim for this code.

90% bill between $34.18 and $410.91.

Top 1% bill above $452.55.

About This Procedure

HCPCS code 31629 was billed by 8 providers across 268 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 216 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.70

Providers Billing

6

National Spending

$24K

Avg/Median Ratio

1.88×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 31629

#ProviderTotal Paid
1Saint Francis Hospital And Medical Center

Hartford, CT · General Acute Care Hospital

$7K
2Our Lady Of The Lake Physician Group Llc

Baton Rouge, LA · Allergy & Immunology

$6K
3Lsu Health Sciences Center Shreveport Faculty Group Practice

Shreveport, LA · Oral & Maxillofacial Surgery

$5K
41043260474$3K
5Ohio State University Hospitals

Columbus, OH · General Acute Care Hospital

$1K
61003882812$462
7The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$0
8Summa Health System

Akron, OH · General Acute Care Hospital

$0

Showing top 8 of 8 providers billing this code