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#8458 of 11K

88147

HCPCS Procedure Code

HCPCS code 88147 is the #8,458 most-billed Medicaid procedure code, with $3K in payments across 13K claims from 2018–2024. The national median cost per claim is $0.50. Costs vary widely — the 90th percentile is $10.95 per claim, 21.9× the median.

Total Paid

$3K

0.00% of all spending

Total Claims

13K

Providers

22

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for 88147? Based on 6 providers billing this code nationally.

Median

$0.50

Average

$3.82

Std Dev

$5.61

Max

$12.43

Percentile Distribution (Cost per Claim)

p10
$0.02
p25
$0.03
Median
$0.50
p75
$7.34
p90
$10.95
p95
$11.69
p99
$12.29

50% of providers bill between $0.03 and $7.34 per claim for this code.

90% bill between $0.02 and $10.95.

Top 1% bill above $12.29.

About This Procedure

HCPCS code 88147 was billed by 22 providers across 13K claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 12K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$0.50

Providers Billing

6

National Spending

$3K

Avg/Median Ratio

7.64×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 88147

#ProviderTotal Paid
11093768723$2K
21285077123$460
31558801829$62
4Health And Life Organization, Inc.

Sacramento, CA · Pediatrics

$50
51144600248$50
61295044832$30
71730459025$0
8Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$0
91104045749$0
101104066919$0
111740336734$0
121073766945$0
131730370594$0
14Planned Parenthood/orange And San Bernardino Counties, Inc.

Orange, CA · Clinic/Center, Ambulatory Family Planning Facility

$0
151861597528$0
161306198296$0
171750667572$0
181265454706$0
191538180245$0
201093763484$0

Showing top 20 of 22 providers billing this code