88267
HCPCS Procedure Code
HCPCS code 88267 is the #4,185 most-billed Medicaid procedure code, with $774K in payments across 9K claims from 2018–2024. The national median cost per claim is $83.65.
Total Paid
$774K
0.00% of all spending
Total Claims
9K
Providers
5
Avg Cost/Claim
$88
National Cost Distribution
How much do providers bill per claim for 88267? Based on 5 providers billing this code nationally.
Median
$83.65
Average
$78.96
Std Dev
$26.31
Max
$115.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $60.72 and $87.20 per claim for this code.
90% bill between $52.77 and $104.34.
Top 1% bill above $114.63.
About This Procedure
HCPCS code 88267 was billed by 5 providers across 9K claims, totaling $774K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$83.65
Providers Billing
5
National Spending
$774K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88267
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801197256 | $597K |
| 2 | 1689975021 | $131K |
| 3 | 1467753814 | $24K |
| 4 | Invitae Corporation San Francisco, CA · Clinical Medical Laboratory | $11K |
| 5 | Genedx Llc Gaithersburg, MD · Medical Genetics, Ph.D. Medical Genetics | $10K |
Showing top 5 of 5 providers billing this code