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#5943 of 11K

82131

HCPCS Procedure Code

HCPCS code 82131 is the #5,943 most-billed Medicaid procedure code, with $116K in payments across 10K claims from 2018–2024. The national median cost per claim is $8.70. Costs vary widely — the 90th percentile is $17.49 per claim, 2.0× the median.

Total Paid

$116K

0.00% of all spending

Total Claims

10K

Providers

23

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 82131? Based on 21 providers billing this code nationally.

Median

$8.70

Average

$9.27

Std Dev

$6.21

Max

$21.72

Percentile Distribution (Cost per Claim)

p10
$2.22
p25
$4.91
Median
$8.70
p75
$11.79
p90
$17.49
p95
$21.24
p99
$21.62

50% of providers bill between $4.91 and $11.79 per claim for this code.

90% bill between $2.22 and $17.49.

Top 1% bill above $21.62.

About This Procedure

HCPCS code 82131 was billed by 23 providers across 10K claims, totaling $116K in Medicaid payments from 2018–2024. This code was used for 9K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.70

Providers Billing

21

National Spending

$116K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82131

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$32K
2State Of Alabama Department Of Public Health

Prattville, AL · Clinical Medical Laboratory

$27K
3Ashland Hospital Corporation

Ashland, KY · Clinic/Center, Rural Health

$15K
4Berkshire Medical Center, Inc

Pittsfield, MA · General Acute Care Hospital

$12K
51629109137$8K
61699849786$5K
7Vhs Childrens Hospital Of Michigan Inc

Detroit, MI · Clinic/Center, Ambulatory Surgical

$5K
8Bronxcare Health System

Bronx, NY · General Acute Care Hospital

$4K
91023092053$2K
101073587937$1K
111619376316$1K
12Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$853
131083698534$774
141578106761$299
151740488386$276
161104829159$271
171205928793$236
18Brigham & Womens Hospital Inc.

Boston, MA · General Acute Care Hospital

$104
19Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$50
20Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$18

Showing top 20 of 23 providers billing this code