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#7275 of 11K

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)

p10
$85.89
p25
$99.50
Median
$122.17
p75
$144.85
p90
$158.46
p95
$163.00
p99
$166.62

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.