88121
HCPCS Procedure Code
HCPCS code 88121 is the #3,253 most-billed Medicaid procedure code, with $2.1M in payments across 19K claims from 2018–2024. The national median cost per claim is $114.69.
Total Paid
$2.1M
0.00% of all spending
Total Claims
19K
Providers
34
Avg Cost/Claim
$115
National Cost Distribution
How much do providers bill per claim for 88121? Based on 32 providers billing this code nationally.
Median
$114.69
Average
$115.82
Std Dev
$79.93
Max
$326.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.94 and $167.60 per claim for this code.
90% bill between $12.01 and $220.36.
Top 1% bill above $295.94.
About This Procedure
HCPCS code 88121 was billed by 34 providers across 19K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$114.69
Providers Billing
32
National Spending
$2.1M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88121
| # | Provider | Total Paid |
|---|---|---|
| 1 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $713K |
| 2 | 1215921549 | $406K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $178K |
| 4 | 1255571428 | $163K |
| 5 | Lenco Diagnostic Laboratories,inc. Brooklyn, NY · Clinical Medical Laboratory | $156K |
| 6 | 1740546316 | $86K |
| 7 | 1851377113 | $73K |
| 8 | Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory | $71K |
| 9 | 1033546882 | $44K |
| 10 | 1588822423 | $31K |
| 11 | 1255713541 | $27K |
| 12 | 1629655295 | $27K |
| 13 | 1376690487 | $21K |
| 14 | 1295023547 | $20K |
| 15 | 1992812473 | $20K |
| 16 | 1073549663 | $17K |
| 17 | 1790949584 | $16K |
| 18 | 1568404846 | $15K |
| 19 | 1003141573 | $15K |
| 20 | William Beaumont Hospital Royal Oak, MI · General Acute Care Hospital | $9K |
Showing top 20 of 34 providers billing this code