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#3316 of 11K

88321

HCPCS Procedure Code

HCPCS code 88321 is the #3,316 most-billed Medicaid procedure code, with $1.9M in payments across 47K claims from 2018–2024. The national median cost per claim is $44.34.

Total Paid

$1.9M

0.00% of all spending

Total Claims

47K

Providers

103

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for 88321? Based on 99 providers billing this code nationally.

Median

$44.34

Average

$45.32

Std Dev

$27.23

Max

$152.96

Percentile Distribution (Cost per Claim)

p10
$10.12
p25
$28.60
Median
$44.34
p75
$57.30
p90
$76.12
p95
$81.45
p99
$151.83

50% of providers bill between $28.60 and $57.30 per claim for this code.

90% bill between $10.12 and $76.12.

Top 1% bill above $151.83.

About This Procedure

HCPCS code 88321 was billed by 103 providers across 47K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$44.34

Providers Billing

99

National Spending

$1.9M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88321

#ProviderTotal Paid
11508890468$447K
21871886366$134K
31760574065$133K
41447221726$128K
5Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$85K
61174880629$85K
71447299797$71K
8Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$62K
91477616571$62K
101285682799$48K
111235191305$44K
121366459570$41K
131780653618$38K
141902846306$33K
151073587937$32K
16West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$29K
17University Of Rochester

Rochester, NY · General Acute Care Hospital

$29K
181306064126$27K
191437292927$26K
201164583753$23K

Showing top 20 of 103 providers billing this code