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#6766 of 11K

88366

HCPCS Procedure Code

HCPCS code 88366 is the #6,766 most-billed Medicaid procedure code, with $44K in payments across 782 claims from 2018–2024. The national median cost per claim is $33.74. Costs vary widely — the 90th percentile is $160.31 per claim, 4.8× the median.

Total Paid

$44K

0.00% of all spending

Total Claims

782

Providers

6

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for 88366? Based on 6 providers billing this code nationally.

Median

$33.74

Average

$74.56

Std Dev

$102.26

Max

$283.17

Percentile Distribution (Cost per Claim)

p10
$29.63
p25
$30.99
Median
$33.74
p75
$37.18
p90
$160.31
p95
$221.74
p99
$270.88

50% of providers bill between $30.99 and $37.18 per claim for this code.

90% bill between $29.63 and $160.31.

Top 1% bill above $270.88.

About This Procedure

HCPCS code 88366 was billed by 6 providers across 782 claims, totaling $44K in Medicaid payments from 2018–2024. This code was used for 618 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$33.74

Providers Billing

6

National Spending

$44K

Avg/Median Ratio

2.21×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 88366

#ProviderTotal Paid
11336152628$19K
21215921549$18K
31891157079$3K
41457715435$2K
51619139631$2K
61285880641$368

Showing top 6 of 6 providers billing this code