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#4075 of 11K

88150

HCPCS Procedure Code

HCPCS code 88150 is the #4,075 most-billed Medicaid procedure code, with $870K in payments across 147K claims from 2018–2024. The national median cost per claim is $6.47. Costs vary widely — the 90th percentile is $14.36 per claim, 2.2× the median.

Total Paid

$870K

0.00% of all spending

Total Claims

147K

Providers

340

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 88150? Based on 244 providers billing this code nationally.

Median

$6.47

Average

$7.82

Std Dev

$7.45

Max

$50.00

Percentile Distribution (Cost per Claim)

p10
$0.47
p25
$2.68
Median
$6.47
p75
$10.74
p90
$14.36
p95
$20.69
p99
$36.76

50% of providers bill between $2.68 and $10.74 per claim for this code.

90% bill between $0.47 and $14.36.

Top 1% bill above $36.76.

About This Procedure

HCPCS code 88150 was billed by 340 providers across 147K claims, totaling $870K in Medicaid payments from 2018–2024. This code was used for 138K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.47

Providers Billing

244

National Spending

$870K

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88150

#ProviderTotal Paid
11225016140$138K
21730343971$44K
31720174014$43K
41184708448$40K
51740460583$39K
61760756860$38K
71497702724$27K
81578520151$19K
91790787919$18K
101740345693$16K
111326395021$14K
121568640449$14K
131073534608$14K
141841496122$12K
151134119233$12K
161780830737$12K
171760480610$11K
181790884633$11K
191336245802$11K
201548422108$11K

Showing top 20 of 340 providers billing this code