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#914 of 11K

72131

HCPCS Procedure Code

HCPCS code 72131 is the #914 most-billed Medicaid procedure code, with $59.4M in payments across 783K claims from 2018–2024. The national median cost per claim is $42.82. Costs vary widely — the 90th percentile is $166.77 per claim, 3.9× the median.

Total Paid

$59.4M

0.01% of all spending

Total Claims

783K

Providers

2K

Avg Cost/Claim

$76

National Cost Distribution

How much do providers bill per claim for 72131? Based on 2K providers billing this code nationally.

Median

$42.82

Average

$75.67

Std Dev

$89.77

Max

$1,344.05

Percentile Distribution (Cost per Claim)

p10
$19.59
p25
$28.27
Median
$42.82
p75
$87.75
p90
$166.77
p95
$252.07
p99
$412.69

50% of providers bill between $28.27 and $87.75 per claim for this code.

90% bill between $19.59 and $166.77.

Top 1% bill above $412.69.

About This Procedure

HCPCS code 72131 was billed by 2K providers across 783K claims, totaling $59.4M in Medicaid payments from 2018–2024. This code was used for 719K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.82

Providers Billing

2K

National Spending

$59.4M

Avg/Median Ratio

1.77×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 72131

#ProviderTotal Paid
1University Of Kentucky

Lexington, KY · General Acute Care Hospital

$2.7M
2Pikeville Medical Center Inc

Pikeville, KY · General Acute Care Hospital

$1.3M
3Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$1.2M
4Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$1.2M
5Dignity Health

Phoenix, AZ · Rehabilitation Unit

$1.1M
6Maricopa County Special Health Care District

Phoenix, AZ · General Acute Care Hospital

$935K
71770690695$841K
8Banner Desert Medical Center

Mesa, AZ · General Acute Care Hospital

$798K
91811213994$688K
101093791170$673K
111992701429$667K
121356390264$658K
13Baptist Healthcare System Inc

Corbin, KY · General Acute Care Hospital

$648K
141144209271$645K
151609869916$613K
16Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$592K
171528169125$558K
181265423917$554K
191437150984$530K
20Beverly Radiology Medical Group Iii

Los Angeles, CA · Radiology, Diagnostic Radiology

$523K

Showing top 20 of 2K providers billing this code