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#5055 of 11K

88367

HCPCS Procedure Code

HCPCS code 88367 is the #5,055 most-billed Medicaid procedure code, with $306K in payments across 8K claims from 2018–2024. The national median cost per claim is $32.49. Costs vary widely — the 90th percentile is $102.07 per claim, 3.1× the median.

Total Paid

$306K

0.00% of all spending

Total Claims

8K

Providers

12

Avg Cost/Claim

$39

National Cost Distribution

How much do providers bill per claim for 88367? Based on 10 providers billing this code nationally.

Median

$32.49

Average

$62.08

Std Dev

$76.41

Max

$271.00

Percentile Distribution (Cost per Claim)

p10
$18.94
p25
$26.88
Median
$32.49
p75
$59.87
p90
$102.07
p95
$186.54
p99
$254.11

50% of providers bill between $26.88 and $59.87 per claim for this code.

90% bill between $18.94 and $102.07.

Top 1% bill above $254.11.

About This Procedure

HCPCS code 88367 was billed by 12 providers across 8K claims, totaling $306K in Medicaid payments from 2018–2024. This code was used for 6K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$32.49

Providers Billing

10

National Spending

$306K

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 88367

#ProviderTotal Paid
11649225632$127K
2Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$100K
31811298953$68K
41043215320$6K
51174503999$807
61982891941$799
7Long Island Jewish Medical Center

New Hyde Park, NY · General Acute Care Hospital

$758
81649375189$599
91447437355$460
101922079706$417
111699884858$0
12Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$0

Showing top 12 of 12 providers billing this code