37231
HCPCS Procedure Code
HCPCS code 37231 is the #5,316 most-billed Medicaid procedure code, with $230K in payments across 731 claims from 2018–2024. The national median cost per claim is $305.23. Costs vary widely — the 90th percentile is $1,257.35 per claim, 4.1× the median.
Total Paid
$230K
0.00% of all spending
Total Claims
731
Providers
4
Avg Cost/Claim
$315
National Cost Distribution
How much do providers bill per claim for 37231? Based on 4 providers billing this code nationally.
Median
$305.23
Average
$634.17
Std Dev
$683.50
Max
$1,658.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $284.40 and $655.01 per claim for this code.
90% bill between $274.15 and $1,257.35.
Top 1% bill above $1,618.75.
About This Procedure
HCPCS code 37231 was billed by 4 providers across 731 claims, totaling $230K in Medicaid payments from 2018–2024. This code was used for 594 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$305.23
Providers Billing
4
National Spending
$230K
Avg/Median Ratio
2.08×
Highly skewed — outlier-driven
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.