88271
HCPCS Procedure Code
HCPCS code 88271 is the #3,255 most-billed Medicaid procedure code, with $2.1M in payments across 49K claims from 2018–2024. The national median cost per claim is $34.96. Costs vary widely — the 90th percentile is $86.11 per claim, 2.5× the median.
Total Paid
$2.1M
0.00% of all spending
Total Claims
49K
Providers
83
Avg Cost/Claim
$43
National Cost Distribution
How much do providers bill per claim for 88271? Based on 79 providers billing this code nationally.
Median
$34.96
Average
$52.20
Std Dev
$60.51
Max
$323.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.35 and $53.25 per claim for this code.
90% bill between $12.85 and $86.11.
Top 1% bill above $311.68.
About This Procedure
HCPCS code 88271 was billed by 83 providers across 49K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.96
Providers Billing
79
National Spending
$2.1M
Avg/Median Ratio
1.49×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88271
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306875877 | $222K |
| 2 | 1801197256 | $217K |
| 3 | Laboratory Corporation Of America Holdings Research Triangle Park, NC · Clinical Medical Laboratory | $164K |
| 4 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $150K |
| 5 | 1699115857 | $142K |
| 6 | 1871615708 | $118K |
| 7 | Mount Sinai Hospital New York, NY · Ambulance | $91K |
| 8 | 1689975021 | $86K |
| 9 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $74K |
| 10 | 1124269717 | $70K |
| 11 | 1124536107 | $68K |
| 12 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $49K |
| 13 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $44K |
| 14 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $44K |
| 15 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $42K |
| 16 | 1366459570 | $38K |
| 17 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $38K |
| 18 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $36K |
| 19 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $30K |
| 20 | 1164493847 | $29K |
Showing top 20 of 83 providers billing this code