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#5164 of 11K

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)

p10
$550.90
p25
$997.93
Median
$1,284.99
p75
$1,976.12
p90
$2,618.67
p95
$2,832.85
p99
$3,004.19

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

#ProviderTotal Paid
11558570648$125K
2State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$101K
3University Of Kentucky

Lexington, KY · General Acute Care Hospital

$26K
41306843222$17K
51104933696$4K

Showing top 5 of 5 providers billing this code