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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $2.7M |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $1.3M |
| 3 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $1.2M |
| 4 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1.2M |
| 5 | Dignity Health Phoenix, AZ · Rehabilitation Unit | $1.1M |
| 6 | Maricopa County Special Health Care District Phoenix, AZ · General Acute Care Hospital | $935K |
| 7 | 1770690695 | $841K |
| 8 | Banner Desert Medical Center Mesa, AZ · General Acute Care Hospital | $798K |
| 9 | 1811213994 | $688K |
| 10 | 1093791170 | $673K |
| 11 | 1992701429 | $667K |
| 12 | 1356390264 | $658K |
| 13 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $648K |
| 14 | 1144209271 | $645K |
| 15 | 1609869916 | $613K |
| 16 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $592K |
| 17 | 1528169125 | $558K |
| 18 | 1265423917 | $554K |
| 19 | 1437150984 | $530K |
| 20 | Beverly Radiology Medical Group Iii Los Angeles, CA · Radiology, Diagnostic Radiology | $523K |
Showing top 20 of 2K providers billing this code