88174
HCPCS Procedure Code
HCPCS code 88174 is the #3,960 most-billed Medicaid procedure code, with $978K in payments across 49K claims from 2018–2024. The national median cost per claim is $13.53.
Total Paid
$978K
0.00% of all spending
Total Claims
49K
Providers
69
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for 88174? Based on 61 providers billing this code nationally.
Median
$13.53
Average
$13.76
Std Dev
$8.74
Max
$33.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.24 and $19.29 per claim for this code.
90% bill between $0.74 and $24.37.
Top 1% bill above $31.03.
About This Procedure
HCPCS code 88174 was billed by 69 providers across 49K claims, totaling $978K in Medicaid payments from 2018–2024. This code was used for 46K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$13.53
Providers Billing
61
National Spending
$978K
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88174
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1982643003 | $349K |
| 2 | 1043358815 | $190K |
| 3 | 1700873833 | $93K |
| 4 | 1881736650 | $77K |
| 5 | 1023271004 | $46K |
| 6 | 1306281126 | $40K |
| 7 | 1699734640 | $33K |
| 8 | 1114915204 | $28K |
| 9 | 1568596484 | $17K |
| 10 | 1073633574 | $14K |
| 11 | 1447509989 | $13K |
| 12 | 1902882939 | $7K |
| 13 | 1568735660 | $7K |
| 14 | 1437455268 | $6K |
| 15 | New York Network Ipa Inc Brooklyn, NY · Exclusive Provider Organization | $6K |
| 16 | 1194971085 | $6K |
| 17 | 1821026352 | $4K |
| 18 | 1801840434 | $4K |
| 19 | 1134757339 | $4K |
| 20 | 1275536799 | $4K |
Showing top 20 of 69 providers billing this code