88369
HCPCS Procedure Code
HCPCS code 88369 is the #6,742 most-billed Medicaid procedure code, with $45K in payments across 2,159 claims from 2018–2024. The national median cost per claim is $25.55. Costs vary widely — the 90th percentile is $52.50 per claim, 2.1× the median.
Total Paid
$45K
0.00% of all spending
Total Claims
2,159
Providers
14
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for 88369? Based on 12 providers billing this code nationally.
Median
$25.55
Average
$45.11
Std Dev
$76.88
Max
$285.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.21 and $32.16 per claim for this code.
90% bill between $9.99 and $52.50.
Top 1% bill above $259.75.
About This Procedure
HCPCS code 88369 was billed by 14 providers across 2,159 claims, totaling $45K in Medicaid payments from 2018–2024. This code was used for 1,789 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.55
Providers Billing
12
National Spending
$45K
Avg/Median Ratio
1.77×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88369
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1174503999 | $20K |
| 2 | 1841375094 | $8K |
| 3 | 1740240753 | $5K |
| 4 | 1396794574 | $3K |
| 5 | 1467433292 | $3K |
| 6 | 1871723312 | $2K |
| 7 | 1477096436 | $2K |
| 8 | 1336480862 | $1K |
| 9 | 1871101238 | $604 |
| 10 | Siparadigm Llc Pine Brook, NJ · Clinical Medical Laboratory | $563 |
| 11 | Yale University New Haven, CT · Internal Medicine | $559 |
| 12 | 1366499733 | $202 |
| 13 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $0 |
| 14 | 1699884858 | $0 |
Showing top 14 of 14 providers billing this code