Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#2263 of 11K

H2031

HCPCS Procedure Code

HCPCS code H2031 is the #2,263 most-billed Medicaid procedure code, with $7.3M in payments across 105K claims from 2018–2024. The national median cost per claim is $90.06. Costs vary widely — the 90th percentile is $259.52 per claim, 2.9× the median.

Total Paid

$7.3M

0.00% of all spending

Total Claims

105K

Providers

19

Avg Cost/Claim

$70

National Cost Distribution

How much do providers bill per claim for H2031? Based on 16 providers billing this code nationally.

Median

$90.06

Average

$118.65

Std Dev

$99.55

Max

$291.26

Percentile Distribution (Cost per Claim)

p10
$9.33
p25
$47.97
Median
$90.06
p75
$212.57
p90
$259.52
p95
$284.47
p99
$289.90

50% of providers bill between $47.97 and $212.57 per claim for this code.

90% bill between $9.33 and $259.52.

Top 1% bill above $289.90.

About This Procedure

HCPCS code H2031 was billed by 19 providers across 105K claims, totaling $7.3M in Medicaid payments from 2018–2024. This code was used for 15K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.06

Providers Billing

16

National Spending

$7.3M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for H2031

#ProviderTotal Paid
11386671535$3.0M
21992708176$1.5M
3North Range Behavioral Health

Greeley, CO · Clinic/Center Mental Health (Including Community Mental Health Center)

$1.4M
4Not Found

Unknown, Unknown · Unknown

$519K
51306947080$240K
61245239680$156K
71245696350$113K
81861495327$97K
91154346500$95K
101588999726$64K
111801268198$58K
121447714357$22K
131619084530$13K
141356807838$10K
151609838093$4K
161619068624$517
171356129084$0
181992053896$0
191235641697$0

Showing top 19 of 19 providers billing this code