96931
HCPCS Procedure Code
HCPCS code 96931 is the #7,275 most-billed Medicaid procedure code, with $23K in payments across 216 claims from 2018–2024. The national median cost per claim is $122.17.
Total Paid
$23K
0.00% of all spending
Total Claims
216
Providers
2
Avg Cost/Claim
$105
National Cost Distribution
How much do providers bill per claim for 96931? Based on 2 providers billing this code nationally.
Median
$122.17
Average
$122.17
Std Dev
$64.15
Max
$167.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $99.50 and $144.85 per claim for this code.
90% bill between $85.89 and $158.46.
Top 1% bill above $166.62.
About This Procedure
HCPCS code 96931 was billed by 2 providers across 216 claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 214 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$122.17
Providers Billing
2
National Spending
$23K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.