95831
HCPCS Procedure Code
HCPCS code 95831 is the #6,024 most-billed Medicaid procedure code, with $104K in payments across 8,233 claims from 2018–2024. The national median cost per claim is $7.69. Costs vary widely — the 90th percentile is $27.55 per claim, 3.6× the median.
Total Paid
$104K
0.00% of all spending
Total Claims
8,233
Providers
40
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 95831? Based on 29 providers billing this code nationally.
Median
$7.69
Average
$14.50
Std Dev
$21.67
Max
$116.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.87 and $16.65 per claim for this code.
90% bill between $1.07 and $27.55.
Top 1% bill above $93.46.
About This Procedure
HCPCS code 95831 was billed by 40 providers across 8,233 claims, totaling $104K in Medicaid payments from 2018–2024. This code was used for 7,218 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.69
Providers Billing
29
National Spending
$104K
Avg/Median Ratio
1.89×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 95831
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1629409933 | $42K |
| 2 | 1013140276 | $13K |
| 3 | 1336120047 | $9K |
| 4 | 1205823879 | $8K |
| 5 | 1356482004 | $7K |
| 6 | 1336173194 | $5K |
| 7 | 1467412726 | $5K |
| 8 | 1962808519 | $2K |
| 9 | 1154372621 | $2K |
| 10 | 1306842521 | $2K |
| 11 | 1912337312 | $1K |
| 12 | 1093742355 | $1K |
| 13 | 1073690202 | $931 |
| 14 | 1083796726 | $858 |
| 15 | 1215306535 | $844 |
| 16 | 1912017021 | $711 |
| 17 | 1215402870 | $391 |
| 18 | 1073573242 | $373 |
| 19 | 1144491895 | $342 |
| 20 | 1629119524 | $302 |
Showing top 20 of 40 providers billing this code