88261
HCPCS Procedure Code
HCPCS code 88261 is the #4,478 most-billed Medicaid procedure code, with $561K in payments across 3K claims from 2018–2024. The national median cost per claim is $177.27.
Total Paid
$561K
0.00% of all spending
Total Claims
3K
Providers
10
Avg Cost/Claim
$199
National Cost Distribution
How much do providers bill per claim for 88261? Based on 9 providers billing this code nationally.
Median
$177.27
Average
$170.11
Std Dev
$118.92
Max
$380.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.54 and $263.97 per claim for this code.
90% bill between $43.77 and $296.41.
Top 1% bill above $371.71.
About This Procedure
HCPCS code 88261 was billed by 10 providers across 3K claims, totaling $561K in Medicaid payments from 2018–2024. This code was used for 3K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$177.27
Providers Billing
9
National Spending
$561K
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88261
| # | Provider | Total Paid |
|---|---|---|
| 1 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $286K |
| 2 | 1316241102 | $174K |
| 3 | 1669463014 | $73K |
| 4 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $18K |
| 5 | 1881793750 | $3K |
| 6 | 1649225632 | $3K |
| 7 | 1225226855 | $1K |
| 8 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $953 |
| 9 | 1427616002 | $846 |
| 10 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $0 |
Showing top 10 of 10 providers billing this code