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#2275 of 11K

88377

HCPCS Procedure Code

HCPCS code 88377 is the #2,275 most-billed Medicaid procedure code, with $7.2M in payments across 67K claims from 2018–2024. The national median cost per claim is $83.23. Costs vary widely — the 90th percentile is $245.70 per claim, 3.0× the median.

Total Paid

$7.2M

0.00% of all spending

Total Claims

67K

Providers

84

Avg Cost/Claim

$107

National Cost Distribution

How much do providers bill per claim for 88377? Based on 81 providers billing this code nationally.

Median

$83.23

Average

$119.76

Std Dev

$109.15

Max

$565.21

Percentile Distribution (Cost per Claim)

p10
$27.00
p25
$45.40
Median
$83.23
p75
$153.98
p90
$245.70
p95
$295.14
p99
$516.82

50% of providers bill between $45.40 and $153.98 per claim for this code.

90% bill between $27.00 and $245.70.

Top 1% bill above $516.82.

About This Procedure

HCPCS code 88377 was billed by 84 providers across 67K claims, totaling $7.2M in Medicaid payments from 2018–2024. This code was used for 51K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$83.23

Providers Billing

81

National Spending

$7.2M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88377

#ProviderTotal Paid
11447437355$2.1M
21396794574$780K
31659655124$318K
41013973866$281K
51174503999$281K
6Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$230K
71467433292$229K
81679580286$210K
91558808204$196K
10Siparadigm Llc

Pine Brook, NJ · Clinical Medical Laboratory

$194K
111740240753$191K
12Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$180K
131073549663$174K
141396384251$162K
151699115857$129K
161497732630$113K
171841375094$99K
181699884858$95K
191871615708$81K
201215921549$79K

Showing top 20 of 84 providers billing this code