88274
HCPCS Procedure Code
HCPCS code 88274 is the #5,008 most-billed Medicaid procedure code, with $322K in payments across 11K claims from 2018–2024. The national median cost per claim is $20.55.
Total Paid
$322K
0.00% of all spending
Total Claims
11K
Providers
16
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for 88274? Based on 16 providers billing this code nationally.
Median
$20.55
Average
$25.62
Std Dev
$20.59
Max
$92.79
Percentile Distribution (Cost per Claim)
50% of providers bill between $16.07 and $31.37 per claim for this code.
90% bill between $8.88 and $35.20.
Top 1% bill above $84.31.
About This Procedure
HCPCS code 88274 was billed by 16 providers across 11K claims, totaling $322K in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$20.55
Providers Billing
16
National Spending
$322K
Avg/Median Ratio
1.25×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88274
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801197256 | $142K |
| 2 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $70K |
| 3 | 1689975021 | $47K |
| 4 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $17K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $16K |
| 6 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $12K |
| 7 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $6K |
| 8 | 1518415991 | $5K |
| 9 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $3K |
| 10 | 1699115857 | $1K |
| 11 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $811 |
| 12 | 1871615708 | $509 |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $334 |
| 14 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $257 |
| 15 | 1124536107 | $230 |
| 16 | 1770532798 | $25 |
Showing top 16 of 16 providers billing this code