69631
HCPCS Procedure Code
HCPCS code 69631 is the #5,164 most-billed Medicaid procedure code, with $271K in payments across 199 claims from 2018–2024. The national median cost per claim is $1,284.99. Costs vary widely — the 90th percentile is $2,618.67 per claim, 2.0× the median.
Total Paid
$271K
0.00% of all spending
Total Claims
199
Providers
5
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for 69631? Based on 5 providers billing this code nationally.
Median
$1,284.99
Average
$1,511.79
Std Dev
$1,057.46
Max
$3,047.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $997.93 and $1,976.12 per claim for this code.
90% bill between $550.90 and $2,618.67.
Top 1% bill above $3,004.19.
About This Procedure
HCPCS code 69631 was billed by 5 providers across 199 claims, totaling $271K in Medicaid payments from 2018–2024. This code was used for 180 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,284.99
Providers Billing
5
National Spending
$271K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 69631
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1558570648 | $125K |
| 2 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $101K |
| 3 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $26K |
| 4 | 1306843222 | $17K |
| 5 | 1104933696 | $4K |
Showing top 5 of 5 providers billing this code