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#6024 of 11K

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)

p10
$1.07
p25
$2.87
Median
$7.69
p75
$16.65
p90
$27.55
p95
$32.32
p99
$93.46

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

#ProviderTotal Paid
11629409933$42K
21013140276$13K
31336120047$9K
41205823879$8K
51356482004$7K
61336173194$5K
71467412726$5K
81962808519$2K
91154372621$2K
101306842521$2K
111912337312$1K
121093742355$1K
131073690202$931
141083796726$858
151215306535$844
161912017021$711
171215402870$391
181073573242$373
191144491895$342
201629119524$302

Showing top 20 of 40 providers billing this code