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#5872 of 11K

88269

HCPCS Procedure Code

HCPCS code 88269 is the #5,872 most-billed Medicaid procedure code, with $126K in payments across 1K claims from 2018–2024. The national median cost per claim is $79.05.

Total Paid

$126K

0.00% of all spending

Total Claims

1K

Providers

2

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for 88269? Based on 2 providers billing this code nationally.

Median

$79.05

Average

$79.05

Std Dev

$17.68

Max

$91.55

Percentile Distribution (Cost per Claim)

p10
$69.05
p25
$72.80
Median
$79.05
p75
$85.30
p90
$89.05
p95
$90.30
p99
$91.30

50% of providers bill between $72.80 and $85.30 per claim for this code.

90% bill between $69.05 and $89.05.

Top 1% bill above $91.30.

About This Procedure

HCPCS code 88269 was billed by 2 providers across 1K claims, totaling $126K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.05

Providers Billing

2

National Spending

$126K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.