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#8992 of 11K

88155

HCPCS Procedure Code

HCPCS code 88155 is the #8,992 most-billed Medicaid procedure code, with $580 in payments across 283 claims from 2018–2024. The national median cost per claim is $2.51. Costs vary widely — the 90th percentile is $6.20 per claim, 2.5× the median.

Total Paid

$580

0.00% of all spending

Total Claims

283

Providers

7

Avg Cost/Claim

$2

National Cost Distribution

How much do providers bill per claim for 88155? Based on 6 providers billing this code nationally.

Median

$2.51

Average

$3.18

Std Dev

$2.58

Max

$6.78

Percentile Distribution (Cost per Claim)

p10
$0.84
p25
$1.37
Median
$2.51
p75
$5.10
p90
$6.20
p95
$6.49
p99
$6.72

50% of providers bill between $1.37 and $5.10 per claim for this code.

90% bill between $0.84 and $6.20.

Top 1% bill above $6.72.

About This Procedure

HCPCS code 88155 was billed by 7 providers across 283 claims, totaling $580 in Medicaid payments from 2018–2024. This code was used for 256 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.51

Providers Billing

6

National Spending

$580

Avg/Median Ratio

1.27×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88155

#ProviderTotal Paid
11548370745$230
2Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$122
31760502322$77
4Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$67
51144371436$58
61659716884$26
71821485483$0

Showing top 7 of 7 providers billing this code