#6093 of 11K

88333

HCPCS Procedure Code

HCPCS code 88333 is the #6,093 most-billed Medicaid procedure code, with $96K in payments across 4K claims from 2018–2024. The national median cost per claim is $29.63. Costs vary widely — the 90th percentile is $64.33 per claim, 2.2× the median.

Total Paid

$96K

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$23

National Cost Distribution

How much do providers bill per claim for 88333? Based on 29 providers billing this code nationally.

Median

$29.63

Average

$34.21

Std Dev

$34.00

Max

$166.77

Percentile Distribution (Cost per Claim)

p10

$3.11

p25

$14.06

Median

$29.63

p75

$43.31

p90

$64.33

p95

$87.73

p99

$145.64

50% of providers bill between $14.06 and $43.31 per claim for this code.

90% bill between $3.11 and $64.33.

Top 1% bill above $145.64.

About This Procedure

HCPCS code 88333 was billed by 35 providers across 4K claims, totaling $96K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.63

Providers Billing

National Spending

$96K

Avg/Median Ratio

1.15×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88333

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	University Of Kentucky Lexington, KY · General Acute Care Hospital	$45K	$59.83	2.0× median	Above 75th
2	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$10K	$14.06	0.5× median	Below Median
3	1871886366	$6K	$43.31	1.5× median	Above 75th
4	1407060411	$4K	$10.69	0.4× median	Below Median
5	Health Network Laboratories, Llc Allentown, PA · Clinical Medical Laboratory	$4K	$42.33	1.4× median	Above Median
6	1558311811	$4K	$48.63	1.6× median	Above 75th
7	State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital	$3K	$166.77	5.6× median	Top 1%
8	1285682799	$3K	$41.60	1.4× median	Above Median
9	University Of Rochester Rochester, NY · General Acute Care Hospital	$3K	$91.31	3.1× median	Top 10%
10	1053305797	$2K	$44.24	1.5× median	Above 75th
11	1942257191	$1K	$19.31	0.7× median	Below Median
12	1376852061	$1K	$37.26	1.3× median	Above Median
13	University Of California Irvine Orange, CA · General Acute Care Hospital	$1K	$18.39	0.6× median	Below Median
14	The Queens Medical Center Honolulu, HI · Psychiatric Unit	$1K	$3.57	0.1× median	Below Median
15	1497744718	$1K	$20.42	0.7× median	Below Median
16	1265407738	$988	$82.34	2.8× median	Top 10%
17	1457389033	$927	$34.35	1.2× median	Above Median
18	A2cl Services, Llc West Allis, WI · Clinical Medical Laboratory	$704	$18.06	0.6× median	Below Median
19	1235121450	$584	$44.93	1.5× median	Above 75th
20	1306879010	$534	$19.07	0.6× median	Below Median

Showing top 20 of 35 providers billing this code

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88342$149.0M 88341$68.2M 88325$2.1M 88331$1.1M 88323$526K

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