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#1401 of 11K

88112

HCPCS Procedure Code

HCPCS code 88112 is the #1,401 most-billed Medicaid procedure code, with $24.4M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $19.79. Costs vary widely — the 90th percentile is $43.19 per claim, 2.2× the median.

Total Paid

$24.4M

0.00% of all spending

Total Claims

1.1M

Providers

1K

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 88112? Based on 1K providers billing this code nationally.

Median

$19.79

Average

$23.61

Std Dev

$18.24

Max

$194.07

Percentile Distribution (Cost per Claim)

p10
$7.15
p25
$13.14
Median
$19.79
p75
$29.85
p90
$43.19
p95
$52.02
p99
$94.26

50% of providers bill between $13.14 and $29.85 per claim for this code.

90% bill between $7.15 and $43.19.

Top 1% bill above $94.26.

About This Procedure

HCPCS code 88112 was billed by 1K providers across 1.1M claims, totaling $24.4M in Medicaid payments from 2018–2024. This code was used for 954K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.79

Providers Billing

1K

National Spending

$24.4M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88112

#ProviderTotal Paid
1Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$940K
21154430148$596K
3Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$560K
4Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$527K
5Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$507K
6Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$492K
7Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$379K
81124049671$304K
91396794574$299K
10Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$291K
11Quest Diagnostics Llc

Marlborough, MA · Clinical Medical Laboratory

$254K
121891873303$227K
131104045749$218K
141780830737$217K
151376852061$214K
161427273598$203K
171740460583$192K
181063464477$191K
19Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$187K
20Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$181K

Showing top 20 of 1K providers billing this code