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#3107 of 11K

88311

HCPCS Procedure Code

HCPCS code 88311 is the #3,107 most-billed Medicaid procedure code, with $2.5M in payments across 407K claims from 2018–2024. The national median cost per claim is $5.68. Costs vary widely — the 90th percentile is $13.01 per claim, 2.3× the median.

Total Paid

$2.5M

0.00% of all spending

Total Claims

407K

Providers

819

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 88311? Based on 744 providers billing this code nationally.

Median

$5.68

Average

$7.41

Std Dev

$14.76

Max

$339.90

Percentile Distribution (Cost per Claim)

p10
$1.41
p25
$3.58
Median
$5.68
p75
$8.35
p90
$13.01
p95
$16.52
p99
$26.59

50% of providers bill between $3.58 and $8.35 per claim for this code.

90% bill between $1.41 and $13.01.

Top 1% bill above $26.59.

About This Procedure

HCPCS code 88311 was billed by 819 providers across 407K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 355K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.68

Providers Billing

744

National Spending

$2.5M

Avg/Median Ratio

1.30×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88311

#ProviderTotal Paid
11053686964$100K
21740460583$90K
31134119233$65K
41548549066$55K
51780830737$55K
6Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$48K
71144283912$47K
8University Of Kentucky

Lexington, KY · General Acute Care Hospital

$45K
91770925109$44K
10Yale University

New Haven, CT · Internal Medicine

$35K
111154302552$33K
121508890468$32K
131598760985$31K
14Health Network Laboratories, Llc

Allentown, PA · Clinical Medical Laboratory

$31K
15City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$29K
16The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$28K
171447299797$27K
181831132844$26K
191174503999$24K
20William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$23K

Showing top 20 of 819 providers billing this code