31231
Nasal endoscopy, diagnostic
Nasal endoscopy, diagnostic is the #486 most-billed Medicaid procedure code, with $191.3M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $98.77.
Total Paid
$191.3M
0.02% of all spending
Total Claims
1.5M
Providers
1K
Avg Cost/Claim
$127
National Cost Distribution
How much do providers bill per claim for 31231? Based on 1K providers billing this code nationally.
Median
$98.77
Average
$110.00
Std Dev
$65.90
Max
$490.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.45 and $150.36 per claim for this code.
90% bill between $35.53 and $195.16.
Top 1% bill above $313.30.
About This Procedure
HCPCS code 31231 (Nasal endoscopy, diagnostic) was billed by 1K providers across 1.5M claims, totaling $191.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$98.77
Providers Billing
1K
National Spending
$191.3M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 31231
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1376598326 | $27.0M |
| 2 | 1811992761 | $6.6M |
| 3 | North Shore-lij Medical Pc Great Neck, NY · Urology | $3.6M |
| 4 | 1124079769 | $3.2M |
| 5 | 1740345669 | $3.0M |
| 6 | 1942489042 | $2.9M |
| 7 | 1679609465 | $2.4M |
| 8 | 1710113949 | $2.4M |
| 9 | 1841484235 | $2.1M |
| 10 | 1154614436 | $2.1M |
| 11 | 1639189236 | $2.1M |
| 12 | 1912039710 | $1.8M |
| 13 | 1508266347 | $1.6M |
| 14 | 1003865908 | $1.6M |
| 15 | 1538407176 | $1.6M |
| 16 | 1205851011 | $1.5M |
| 17 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.4M |
| 18 | 1861592867 | $1.4M |
| 19 | 1639101751 | $1.4M |
| 20 | 1134153083 | $1.3M |
Showing top 20 of 1K providers billing this code