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#5632 of 11K

67031

HCPCS Procedure Code

HCPCS code 67031 is the #5,632 most-billed Medicaid procedure code, with $164K in payments across 2K claims from 2018–2024. The national median cost per claim is $49.22.

Total Paid

$164K

0.00% of all spending

Total Claims

2K

Providers

6

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for 67031? Based on 6 providers billing this code nationally.

Median

$49.22

Average

$56.77

Std Dev

$32.29

Max

$101.20

Percentile Distribution (Cost per Claim)

p10
$26.78
p25
$37.97
Median
$49.22
p75
$80.15
p90
$94.31
p95
$97.75
p99
$100.51

50% of providers bill between $37.97 and $80.15 per claim for this code.

90% bill between $26.78 and $94.31.

Top 1% bill above $100.51.

About This Procedure

HCPCS code 67031 was billed by 6 providers across 2K claims, totaling $164K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$49.22

Providers Billing

6

National Spending

$164K

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 67031

#ProviderTotal Paid
11760541569$143K
21396820007$9K
31609205731$6K
41578541991$3K
51922282284$2K
61811068455$1K

Showing top 6 of 6 providers billing this code