88173
HCPCS Procedure Code
HCPCS code 88173 is the #1,808 most-billed Medicaid procedure code, with $13.5M in payments across 282K claims from 2018–2024. The national median cost per claim is $38.77. Costs vary widely — the 90th percentile is $88.31 per claim, 2.3× the median.
Total Paid
$13.5M
0.00% of all spending
Total Claims
282K
Providers
554
Avg Cost/Claim
$48
National Cost Distribution
How much do providers bill per claim for 88173? Based on 514 providers billing this code nationally.
Median
$38.77
Average
$44.72
Std Dev
$36.89
Max
$293.54
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.43 and $57.97 per claim for this code.
90% bill between $4.97 and $88.31.
Top 1% bill above $158.20.
About This Procedure
HCPCS code 88173 was billed by 554 providers across 282K claims, totaling $13.5M in Medicaid payments from 2018–2024. This code was used for 249K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$38.77
Providers Billing
514
National Spending
$13.5M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88173
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740460583 | $1.2M |
| 2 | 1134438427 | $697K |
| 3 | 1205834769 | $686K |
| 4 | 1891873303 | $524K |
| 5 | 1841496122 | $376K |
| 6 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $353K |
| 7 | 1740246545 | $336K |
| 8 | 1336461128 | $333K |
| 9 | 1396747861 | $321K |
| 10 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $307K |
| 11 | 1104810308 | $269K |
| 12 | 1205835600 | $245K |
| 13 | 1831132844 | $228K |
| 14 | 1376544510 | $196K |
| 15 | 1043275787 | $182K |
| 16 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $178K |
| 17 | 1275740987 | $165K |
| 18 | 1114160116 | $135K |
| 19 | 1306151956 | $134K |
| 20 | 1326389826 | $131K |
Showing top 20 of 554 providers billing this code