31242
HCPCS Procedure Code
HCPCS code 31242 is the #4,953 most-billed Medicaid procedure code, with $342K in payments across 190 claims from 2018–2024. The national median cost per claim is $1,797.98.
Total Paid
$342K
0.00% of all spending
Total Claims
190
Providers
1
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for 31242? Based on 1 providers billing this code nationally.
Median
$1,797.98
Average
$1,797.98
Std Dev
—
Max
$1,797.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,797.98 and $1,797.98 per claim for this code.
90% bill between $1,797.98 and $1,797.98.
Top 1% bill above $1,797.98.
About This Procedure
HCPCS code 31242 was billed by 1 providers across 190 claims, totaling $342K in Medicaid payments from 2018–2024. This code was used for 188 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$1,797.98
Providers Billing
1
National Spending
$342K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.