88304
HCPCS Procedure Code
HCPCS code 88304 is the #872 most-billed Medicaid procedure code, with $64.6M in payments across 3.9M claims from 2018–2024. The national median cost per claim is $12.88. Costs vary widely — the 90th percentile is $33.41 per claim, 2.6× the median.
Total Paid
$64.6M
0.01% of all spending
Total Claims
3.9M
Providers
3K
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for 88304? Based on 3K providers billing this code nationally.
Median
$12.88
Average
$20.46
Std Dev
$93.31
Max
$3,994.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.43 and $21.16 per claim for this code.
90% bill between $2.45 and $33.41.
Top 1% bill above $97.01.
About This Procedure
HCPCS code 88304 was billed by 3K providers across 3.9M claims, totaling $64.6M in Medicaid payments from 2018–2024. This code was used for 3.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$12.88
Providers Billing
3K
National Spending
$64.6M
Avg/Median Ratio
1.59×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88304
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1700220589 | $1.4M |
| 2 | 1598760985 | $1.1M |
| 3 | 1871627067 | $927K |
| 4 | Curators Of The University Of Missouri Columbia, MO · General Acute Care Hospital | $854K |
| 5 | 1205835600 | $845K |
| 6 | 1154373843 | $789K |
| 7 | 1467412726 | $738K |
| 8 | 1740460583 | $644K |
| 9 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $616K |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $594K |
| 11 | 1043282841 | $551K |
| 12 | 1417959701 | $503K |
| 13 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $460K |
| 14 | 1134119233 | $458K |
| 15 | 1699756221 | $429K |
| 16 | 1134191927 | $410K |
| 17 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $394K |
| 18 | 1174503999 | $374K |
| 19 | 1215917588 | $374K |
| 20 | 1093843450 | $365K |
Showing top 20 of 3K providers billing this code