88342
HCPCS Procedure Code
HCPCS code 88342 is the #552 most-billed Medicaid procedure code, with $149.0M in payments across 4.8M claims from 2018–2024. The national median cost per claim is $23.66. Costs vary widely — the 90th percentile is $62.05 per claim, 2.6× the median.
Total Paid
$149.0M
0.01% of all spending
Total Claims
4.8M
Providers
3K
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for 88342? Based on 3K providers billing this code nationally.
Median
$23.66
Average
$31.82
Std Dev
$39.54
Max
$962.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.84 and $39.40 per claim for this code.
90% bill between $3.87 and $62.05.
Top 1% bill above $160.10.
About This Procedure
HCPCS code 88342 was billed by 3K providers across 4.8M claims, totaling $149.0M in Medicaid payments from 2018–2024. This code was used for 4.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.66
Providers Billing
3K
National Spending
$149.0M
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88342
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598760985 | $4.2M |
| 2 | 1215921549 | $2.2M |
| 3 | 1467433292 | $2.0M |
| 4 | 1134119233 | $2.0M |
| 5 | 1174503999 | $1.4M |
| 6 | 1740246545 | $1.3M |
| 7 | 1225016140 | $1.2M |
| 8 | 1417924424 | $1.1M |
| 9 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.0M |
| 10 | 1740460583 | $985K |
| 11 | 1467786467 | $976K |
| 12 | 1093843450 | $923K |
| 13 | 1821127002 | $877K |
| 14 | 1134213598 | $816K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $784K |
| 16 | 1942374517 | $782K |
| 17 | 1023124625 | $773K |
| 18 | 1730262759 | $761K |
| 19 | 1164609111 | $740K |
| 20 | Associated Pathologists, Llc Nashville, TN · Medical Genetics, Clinical Genetics (M.D.) | $716K |
Showing top 20 of 3K providers billing this code