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#6517 of 11K

31571

HCPCS Procedure Code

HCPCS code 31571 is the #6,517 most-billed Medicaid procedure code, with $59K in payments across 227 claims from 2018–2024. The national median cost per claim is $202.65. Costs vary widely — the 90th percentile is $1,193.65 per claim, 5.9× the median.

Total Paid

$59K

0.00% of all spending

Total Claims

227

Providers

3

Avg Cost/Claim

$259

National Cost Distribution

How much do providers bill per claim for 31571? Based on 3 providers billing this code nationally.

Median

$202.65

Average

$586.98

Std Dev

$741.19

Max

$1,441.40

Percentile Distribution (Cost per Claim)

p10
$134.04
p25
$159.77
Median
$202.65
p75
$822.02
p90
$1,193.65
p95
$1,317.52
p99
$1,416.62

50% of providers bill between $159.77 and $822.02 per claim for this code.

90% bill between $134.04 and $1,193.65.

Top 1% bill above $1,416.62.

About This Procedure

HCPCS code 31571 was billed by 3 providers across 227 claims, totaling $59K in Medicaid payments from 2018–2024. This code was used for 180 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$202.65

Providers Billing

3

National Spending

$59K

Avg/Median Ratio

2.90×

Highly skewed — outlier-driven

Provider Coverage

We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.