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#4960 of 11K

88280

HCPCS Procedure Code

HCPCS code 88280 is the #4,960 most-billed Medicaid procedure code, with $339K in payments across 20K claims from 2018–2024. The national median cost per claim is $14.68.

Total Paid

$339K

0.00% of all spending

Total Claims

20K

Providers

49

Avg Cost/Claim

$17

National Cost Distribution

How much do providers bill per claim for 88280? Based on 47 providers billing this code nationally.

Median

$14.68

Average

$16.64

Std Dev

$15.25

Max

$94.25

Percentile Distribution (Cost per Claim)

p10
$3.18
p25
$8.99
Median
$14.68
p75
$20.35
p90
$26.93
p95
$32.76
p99
$76.68

50% of providers bill between $8.99 and $20.35 per claim for this code.

90% bill between $3.18 and $26.93.

Top 1% bill above $76.68.

About This Procedure

HCPCS code 88280 was billed by 49 providers across 20K claims, totaling $339K in Medicaid payments from 2018–2024. This code was used for 18K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.68

Providers Billing

47

National Spending

$339K

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88280

#ProviderTotal Paid
11801197256$93K
2City Of Hope National Medical Center

Duarte, CA · General Acute Care Hospital

$41K
3Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$34K
4Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$27K
5University Of Kentucky

Lexington, KY · General Acute Care Hospital

$22K
61124269717$20K
71689975021$19K
81811932940$12K
91588712285$11K
101649225632$10K
11Froedtert Memorial Lutheran Hospital, Inc.

Milwaukee, WI · Clinic/Center, Radiology

$10K
121467753814$6K
13Sunrise Medical Laboratories, Inc.

Hicksville, NY · Clinical Medical Laboratory

$5K
14Nyu Langone Hospitals

New York, NY · Clinic/Center, Oncology

$4K
151245288729$3K
16Invitae Corporation

San Francisco, CA · Clinical Medical Laboratory

$3K
17The New York And Presbyterian Hospital

New York, NY · General Acute Care Hospital

$2K
18Associated Pathologists, Llc

Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)

$1K
19Mercy Health - St Vincent Medical Center Llc

Toledo, OH · Ambulance, Land Transport

$1K
20Robert Wood Johnson University Hospital, Inc

New Brunswick, NJ · General Acute Care Hospital

$1K

Showing top 20 of 49 providers billing this code