88235
HCPCS Procedure Code
HCPCS code 88235 is the #3,987 most-billed Medicaid procedure code, with $956K in payments across 13K claims from 2018–2024. The national median cost per claim is $90.93.
Total Paid
$956K
0.00% of all spending
Total Claims
13K
Providers
17
Avg Cost/Claim
$72
National Cost Distribution
How much do providers bill per claim for 88235? Based on 17 providers billing this code nationally.
Median
$90.93
Average
$98.08
Std Dev
$47.74
Max
$205.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.28 and $114.28 per claim for this code.
90% bill between $56.09 and $159.54.
Top 1% bill above $204.76.
About This Procedure
HCPCS code 88235 was billed by 17 providers across 13K claims, totaling $956K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$90.93
Providers Billing
17
National Spending
$956K
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88235
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801197256 | $483K |
| 2 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $191K |
| 3 | 1689975021 | $109K |
| 4 | 1518415991 | $46K |
| 5 | 1740353853 | $30K |
| 6 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $25K |
| 7 | 1649572017 | $20K |
| 8 | 1467753814 | $15K |
| 9 | 1629512140 | $12K |
| 10 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $10K |
| 11 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $4K |
| 12 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $3K |
| 13 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $2K |
| 14 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $1K |
| 15 | 1073587937 | $1K |
| 16 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $1K |
| 17 | Sunrise Medical Laboratories, Inc. Hicksville, NY · Clinical Medical Laboratory | $559 |
Showing top 17 of 17 providers billing this code