81431
HCPCS Procedure Code
HCPCS code 81431 is the #5,447 most-billed Medicaid procedure code, with $196K in payments across 2K claims from 2018–2024. The national median cost per claim is $102.09.
Total Paid
$196K
0.00% of all spending
Total Claims
2K
Providers
1
Avg Cost/Claim
$102
National Cost Distribution
How much do providers bill per claim for 81431? Based on 1 providers billing this code nationally.
Median
$102.09
Average
$102.09
Std Dev
—
Max
$102.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $102.09 and $102.09 per claim for this code.
90% bill between $102.09 and $102.09.
Top 1% bill above $102.09.
About This Procedure
HCPCS code 81431 was billed by 1 providers across 2K claims, totaling $196K in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$102.09
Providers Billing
1
National Spending
$196K
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.