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#7543 of 11K

88162

HCPCS Procedure Code

HCPCS code 88162 is the #7,543 most-billed Medicaid procedure code, with $15K in payments across 422 claims from 2018–2024. The national median cost per claim is $28.44.

Total Paid

$15K

0.00% of all spending

Total Claims

422

Providers

4

Avg Cost/Claim

$36

National Cost Distribution

How much do providers bill per claim for 88162? Based on 4 providers billing this code nationally.

Median

$28.44

Average

$26.92

Std Dev

$18.50

Max

$45.03

Percentile Distribution (Cost per Claim)

p10
$9.24
p25
$14.43
Median
$28.44
p75
$40.93
p90
$43.39
p95
$44.21
p99
$44.87

50% of providers bill between $14.43 and $40.93 per claim for this code.

90% bill between $9.24 and $43.39.

Top 1% bill above $44.87.

About This Procedure

HCPCS code 88162 was billed by 4 providers across 422 claims, totaling $15K in Medicaid payments from 2018–2024. This code was used for 414 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$28.44

Providers Billing

4

National Spending

$15K

Avg/Median Ratio

0.95×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.