88240
HCPCS Procedure Code
HCPCS code 88240 is the #6,645 most-billed Medicaid procedure code, with $50K in payments across 6,378 claims from 2018–2024. The national median cost per claim is $5.29. Costs vary widely — the 90th percentile is $17.10 per claim, 3.2× the median.
Total Paid
$50K
0.00% of all spending
Total Claims
6,378
Providers
11
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 88240? Based on 11 providers billing this code nationally.
Median
$5.29
Average
$8.01
Std Dev
$8.22
Max
$27.72
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.94 and $10.45 per claim for this code.
90% bill between $0.77 and $17.10.
Top 1% bill above $26.66.
About This Procedure
HCPCS code 88240 was billed by 11 providers across 6,378 claims, totaling $50K in Medicaid payments from 2018–2024. This code was used for 4,964 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.29
Providers Billing
11
National Spending
$50K
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88240
| # | Provider | Total Paid |
|---|---|---|
| 1 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $19K |
| 2 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $17K |
| 3 | 1164493847 | $7K |
| 4 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $4K |
| 5 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $919 |
| 6 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $853 |
| 7 | 1689744450 | $369 |
| 8 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $196 |
| 9 | 1285798918 | $82 |
| 10 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $47 |
| 11 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $29 |
Showing top 11 of 11 providers billing this code