88738
HCPCS Procedure Code
HCPCS code 88738 is the #4,338 most-billed Medicaid procedure code, with $652K in payments across 193K claims from 2018–2024. The national median cost per claim is $4.06.
Total Paid
$652K
0.00% of all spending
Total Claims
193K
Providers
276
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 88738? Based on 210 providers billing this code nationally.
Median
$4.06
Average
$4.23
Std Dev
$3.27
Max
$21.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.40 and $5.20 per claim for this code.
90% bill between $0.76 and $6.57.
Top 1% bill above $18.75.
About This Procedure
HCPCS code 88738 was billed by 276 providers across 193K claims, totaling $652K in Medicaid payments from 2018–2024. This code was used for 173K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.06
Providers Billing
210
National Spending
$652K
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88738
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1881089886 | $66K |
| 2 | 1235182221 | $56K |
| 3 | 1942252648 | $40K |
| 4 | 1639123284 | $32K |
| 5 | 1225166804 | $24K |
| 6 | 1013489947 | $22K |
| 7 | 1295001576 | $17K |
| 8 | 1710983952 | $16K |
| 9 | 1881630747 | $16K |
| 10 | 1487995304 | $16K |
| 11 | 1447346408 | $14K |
| 12 | 1598868655 | $14K |
| 13 | 1730123472 | $14K |
| 14 | 1588851190 | $14K |
| 15 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $12K |
| 16 | 1356439566 | $11K |
| 17 | 1790078038 | $11K |
| 18 | 1366534729 | $11K |
| 19 | 1609046267 | $10K |
| 20 | 1124057203 | $10K |
Showing top 20 of 276 providers billing this code