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#830 of 11K

88142

HCPCS Procedure Code

HCPCS code 88142 is the #830 most-billed Medicaid procedure code, with $70.9M in payments across 5.0M claims from 2018–2024. The national median cost per claim is $14.75.

Total Paid

$70.9M

0.01% of all spending

Total Claims

5.0M

Providers

2K

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 88142? Based on 1K providers billing this code nationally.

Median

$14.75

Average

$15.42

Std Dev

$17.84

Max

$503.60

Percentile Distribution (Cost per Claim)

p10
$1.74
p25
$8.12
Median
$14.75
p75
$19.37
p90
$24.94
p95
$29.66
p99
$55.56

50% of providers bill between $8.12 and $19.37 per claim for this code.

90% bill between $1.74 and $24.94.

Top 1% bill above $55.56.

About This Procedure

HCPCS code 88142 was billed by 2K providers across 5.0M claims, totaling $70.9M in Medicaid payments from 2018–2024. This code was used for 4.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.75

Providers Billing

1K

National Spending

$70.9M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88142

#ProviderTotal Paid
11225016140$7.1M
21134119233$1.8M
31033203393$1.7M
41740460583$1.6M
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1.5M
6Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.4M
7Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$1.1M
8Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$1.1M
9Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$1.0M
10Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$1.0M
11Montefiore Medical Center

Bronx, NY · General Acute Care Hospital

$892K
12Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$884K
13Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$862K
141245382753$847K
151780830737$844K
16Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$800K
17Rochester General Hospital-lab

Rochester, NY · Clinical Medical Laboratory

$772K
18Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$767K
19Lenco Diagnostic Laboratories,inc.

Brooklyn, NY · Clinical Medical Laboratory

$731K
20Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$709K

Showing top 20 of 2K providers billing this code