0131
HCPCS Procedure Code
HCPCS code 0131 is the #3,644 most-billed Medicaid procedure code, with $1.4M in payments across 624 claims from 2018–2024. The national median cost per claim is $1,760.95.
Total Paid
$1.4M
0.00% of all spending
Total Claims
624
Providers
2
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 0131? Based on 2 providers billing this code nationally.
Median
$1,760.95
Average
$1,760.95
Std Dev
$1,044.60
Max
$2,499.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,391.63 and $2,130.28 per claim for this code.
90% bill between $1,170.04 and $2,351.87.
Top 1% bill above $2,484.83.
About This Procedure
HCPCS code 0131 was billed by 2 providers across 624 claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 598 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,760.95
Providers Billing
2
National Spending
$1.4M
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.