88312
HCPCS Procedure Code
HCPCS code 88312 is the #696 most-billed Medicaid procedure code, with $102.8M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $24.56. Costs vary widely — the 90th percentile is $81.39 per claim, 3.3× the median.
Total Paid
$102.8M
0.01% of all spending
Total Claims
2.3M
Providers
2K
Avg Cost/Claim
$44
National Cost Distribution
How much do providers bill per claim for 88312? Based on 2K providers billing this code nationally.
Median
$24.56
Average
$40.69
Std Dev
$72.14
Max
$1,685.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.98 and $46.85 per claim for this code.
90% bill between $4.54 and $81.39.
Top 1% bill above $263.82.
About This Procedure
HCPCS code 88312 was billed by 2K providers across 2.3M claims, totaling $102.8M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$24.56
Providers Billing
2K
National Spending
$102.8M
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88312
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467786467 | $5.8M |
| 2 | 1184814014 | $4.6M |
| 3 | 1740460583 | $3.0M |
| 4 | 1134200744 | $2.4M |
| 5 | 1134213598 | $2.1M |
| 6 | 1215921549 | $2.0M |
| 7 | 1134868045 | $1.7M |
| 8 | 1013013002 | $1.7M |
| 9 | 1780830737 | $1.6M |
| 10 | 1194797993 | $1.6M |
| 11 | 1902018161 | $1.5M |
| 12 | 1609019819 | $1.5M |
| 13 | 1033654892 | $1.4M |
| 14 | 1467433292 | $1.1M |
| 15 | 1053686964 | $1.1M |
| 16 | 1770559981 | $968K |
| 17 | 1134191927 | $922K |
| 18 | 1184756744 | $827K |
| 19 | 1962480608 | $817K |
| 20 | 1346271251 | $769K |
Showing top 20 of 2K providers billing this code