88230
HCPCS Procedure Code
HCPCS code 88230 is the #2,658 most-billed Medicaid procedure code, with $4.3M in payments across 81K claims from 2018–2024. The national median cost per claim is $59.82.
Total Paid
$4.3M
0.00% of all spending
Total Claims
81K
Providers
77
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for 88230? Based on 73 providers billing this code nationally.
Median
$59.82
Average
$69.12
Std Dev
$51.70
Max
$334.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $41.75 and $90.92 per claim for this code.
90% bill between $21.89 and $111.30.
Top 1% bill above $252.90.
About This Procedure
HCPCS code 88230 was billed by 77 providers across 81K claims, totaling $4.3M in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$59.82
Providers Billing
73
National Spending
$4.3M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88230
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $565K |
| 2 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $335K |
| 3 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $308K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $267K |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $256K |
| 6 | 1801197256 | $230K |
| 7 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $215K |
| 8 | 1316241102 | $164K |
| 9 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $162K |
| 10 | Mid Atlantic Pemanente Medical Group Rockville, MD · Health Maintenance Organization | $126K |
| 11 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $114K |
| 12 | 1669463014 | $114K |
| 13 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $91K |
| 14 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $85K |
| 15 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $82K |
| 16 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $80K |
| 17 | 1518415991 | $79K |
| 18 | 1811932940 | $78K |
| 19 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $76K |
| 20 | 1780620526 | $74K |
Showing top 20 of 77 providers billing this code