88291
HCPCS Procedure Code
HCPCS code 88291 is the #3,614 most-billed Medicaid procedure code, with $1.4M in payments across 104K claims from 2018–2024. The national median cost per claim is $14.68.
Total Paid
$1.4M
0.00% of all spending
Total Claims
104K
Providers
117
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for 88291? Based on 114 providers billing this code nationally.
Median
$14.68
Average
$17.58
Std Dev
$23.11
Max
$236.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.13 and $20.40 per claim for this code.
90% bill between $5.06 and $27.51.
Top 1% bill above $70.86.
About This Procedure
HCPCS code 88291 was billed by 117 providers across 104K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 90K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$14.68
Providers Billing
114
National Spending
$1.4M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88291
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1780669200 | $112K |
| 2 | 1447437355 | $111K |
| 3 | 1245288729 | $98K |
| 4 | Montefiore Medical Center Bronx, NY · Anesthesiology | $73K |
| 5 | 1376709535 | $59K |
| 6 | 1457389033 | $57K |
| 7 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $56K |
| 8 | 1689628158 | $48K |
| 9 | Dayton Children's Hospital Dayton, OH · General Acute Care Hospital, Children | $47K |
| 10 | North Shore-lij Medical Pc Great Neck, NY · Urology | $46K |
| 11 | 1184775132 | $44K |
| 12 | 1538173539 | $43K |
| 13 | 1477554814 | $42K |
| 14 | 1073549663 | $38K |
| 15 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $35K |
| 16 | 1487600334 | $29K |
| 17 | 1306875877 | $26K |
| 18 | 1518415991 | $25K |
| 19 | 1740240753 | $25K |
| 20 | 1669463014 | $25K |
Showing top 20 of 117 providers billing this code