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#8522 of 11K

84431

HCPCS Procedure Code

HCPCS code 84431 is the #8,522 most-billed Medicaid procedure code, with $2K in payments across 1K claims from 2018–2024. The national median cost per claim is $2.11.

Total Paid

$2K

0.00% of all spending

Total Claims

1K

Providers

3

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 84431? Based on 2 providers billing this code nationally.

Median

$2.11

Average

$2.11

Std Dev

$1.33

Max

$3.05

Percentile Distribution (Cost per Claim)

p10
$1.36
p25
$1.64
Median
$2.11
p75
$2.58
p90
$2.87
p95
$2.96
p99
$3.04

50% of providers bill between $1.64 and $2.58 per claim for this code.

90% bill between $1.36 and $2.87.

Top 1% bill above $3.04.

About This Procedure

HCPCS code 84431 was billed by 3 providers across 1K claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.11

Providers Billing

2

National Spending

$2K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.