88285
HCPCS Procedure Code
HCPCS code 88285 is the #5,774 most-billed Medicaid procedure code, with $140K in payments across 12K claims from 2018–2024. The national median cost per claim is $12.07. Costs vary widely — the 90th percentile is $32.58 per claim, 2.7× the median.
Total Paid
$140K
0.00% of all spending
Total Claims
12K
Providers
14
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 88285? Based on 14 providers billing this code nationally.
Median
$12.07
Average
$22.80
Std Dev
$42.11
Max
$165.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.16 and $16.64 per claim for this code.
90% bill between $2.64 and $32.58.
Top 1% bill above $148.75.
About This Procedure
HCPCS code 88285 was billed by 14 providers across 12K claims, totaling $140K in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.07
Providers Billing
14
National Spending
$140K
Avg/Median Ratio
1.89×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88285
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801197256 | $64K |
| 2 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $26K |
| 3 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $20K |
| 4 | 1689975021 | $14K |
| 5 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $11K |
| 6 | 1649225632 | $2K |
| 7 | 1518415991 | $816 |
| 8 | 1467753814 | $689 |
| 9 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $517 |
| 10 | 1740353853 | $469 |
| 11 | 1073587937 | $410 |
| 12 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $97 |
| 13 | 1225226855 | $84 |
| 14 | 1427616002 | $58 |
Showing top 14 of 14 providers billing this code