88164
HCPCS Procedure Code
HCPCS code 88164 is the #5,176 most-billed Medicaid procedure code, with $269K in payments across 40K claims from 2018–2024. The national median cost per claim is $7.56.
Total Paid
$269K
0.00% of all spending
Total Claims
40K
Providers
73
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 88164? Based on 50 providers billing this code nationally.
Median
$7.56
Average
$8.74
Std Dev
$11.37
Max
$76.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.02 and $10.89 per claim for this code.
90% bill between $0.39 and $12.49.
Top 1% bill above $54.25.
About This Procedure
HCPCS code 88164 was billed by 73 providers across 40K claims, totaling $269K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.56
Providers Billing
50
National Spending
$269K
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88164
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891799763 | $62K |
| 2 | 1295270254 | $55K |
| 3 | 1215981618 | $25K |
| 4 | 1316936990 | $24K |
| 5 | 1760752836 | $15K |
| 6 | 1548370745 | $11K |
| 7 | 1225016140 | $10K |
| 8 | 1932199171 | $9K |
| 9 | 1881626943 | $8K |
| 10 | 1134119233 | $6K |
| 11 | Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory | $6K |
| 12 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $5K |
| 13 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $5K |
| 14 | Laboratory Corporation Of America Houston, TX · Clinical Medical Laboratory | $4K |
| 15 | 1568577724 | $4K |
| 16 | 1689901688 | $3K |
| 17 | 1215336953 | $2K |
| 18 | Laboratory Corporation Of America Holdings Charleston, WV · Clinical Medical Laboratory | $2K |
| 19 | 1932264975 | $1K |
| 20 | 1962479360 | $1K |
Showing top 20 of 73 providers billing this code