Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#5474 of 11K

88233

HCPCS Procedure Code

HCPCS code 88233 is the #5,474 most-billed Medicaid procedure code, with $191K in payments across 2,536 claims from 2018–2024. The national median cost per claim is $79.80.

Total Paid

$191K

0.00% of all spending

Total Claims

2,536

Providers

4

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for 88233? Based on 4 providers billing this code nationally.

Median

$79.80

Average

$90.00

Std Dev

$27.78

Max

$130.72

Percentile Distribution (Cost per Claim)

p10
$71.45
p25
$74.11
Median
$79.80
p75
$95.70
p90
$116.71
p95
$123.72
p99
$129.32

50% of providers bill between $74.11 and $95.70 per claim for this code.

90% bill between $71.45 and $116.71.

Top 1% bill above $129.32.

About This Procedure

HCPCS code 88233 was billed by 4 providers across 2,536 claims, totaling $191K in Medicaid payments from 2018–2024. This code was used for 2,430 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.80

Providers Billing

4

National Spending

$191K

Avg/Median Ratio

1.13×

Normal distribution

Provider Coverage

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