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#6742 of 11K

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)

p10
$9.99
p25
$13.21
Median
$25.55
p75
$32.16
p90
$52.50
p95
$157.96
p99
$259.75

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

#ProviderTotal Paid
11174503999$20K
21841375094$8K
31740240753$5K
41396794574$3K
51467433292$3K
61871723312$2K
71477096436$2K
81336480862$1K
91871101238$604
10Siparadigm Llc

Pine Brook, NJ · Clinical Medical Laboratory

$563
11Yale University

New Haven, CT · Internal Medicine

$559
121366499733$202
13Banner - University Medical Center Tucson Campus Llc

Tucson, AZ · Clinic/Center, Multi-Specialty

$0
141699884858$0

Showing top 14 of 14 providers billing this code