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#3363 of 11K

82731

HCPCS Procedure Code

HCPCS code 82731 is the #3,363 most-billed Medicaid procedure code, with $1.8M in payments across 56K claims from 2018–2024. The national median cost per claim is $31.49. Costs vary widely — the 90th percentile is $87.70 per claim, 2.8× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

56K

Providers

250

Avg Cost/Claim

$33

National Cost Distribution

How much do providers bill per claim for 82731? Based on 238 providers billing this code nationally.

Median

$31.49

Average

$46.44

Std Dev

$50.30

Max

$309.92

Percentile Distribution (Cost per Claim)

p10
$5.91
p25
$13.42
Median
$31.49
p75
$62.46
p90
$87.70
p95
$140.36
p99
$240.80

50% of providers bill between $13.42 and $62.46 per claim for this code.

90% bill between $5.91 and $87.70.

Top 1% bill above $240.80.

About This Procedure

HCPCS code 82731 was billed by 250 providers across 56K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 50K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$31.49

Providers Billing

238

National Spending

$1.8M

Avg/Median Ratio

1.47×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 82731

#ProviderTotal Paid
11598875460$104K
2Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$83K
3Tricore Reference Laboratories

Albuquerque, NM · Clinical Medical Laboratory

$75K
4Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$74K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$67K
61073587937$57K
71427055821$55K
81821099474$55K
91417952748$47K
10Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$47K
111366496937$44K
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$37K
131740876382$34K
141235186800$30K
15Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$30K
161639523004$27K
17Presbyterian Healthcare Services

Albuquerque, NM · Emergency Medicine

$27K
18Spartanburg Medical Center

Spartanburg, SC · Ambulance

$26K
19Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$25K
201578587150$24K

Showing top 20 of 250 providers billing this code