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#552 of 11K

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)

p10
$3.87
p25
$13.84
Median
$23.66
p75
$39.40
p90
$62.05
p95
$80.90
p99
$160.10

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

#ProviderTotal Paid
11598760985$4.2M
21215921549$2.2M
31467433292$2.0M
41134119233$2.0M
51174503999$1.4M
61740246545$1.3M
71225016140$1.2M
81417924424$1.1M
9Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$1.0M
101740460583$985K
111467786467$976K
121093843450$923K
131821127002$877K
141134213598$816K
15Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$784K
161942374517$782K
171023124625$773K
181730262759$761K
191164609111$740K
20Associated Pathologists, Llc

Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)

$716K

Showing top 20 of 3K providers billing this code