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#6017 of 11K

88289

HCPCS Procedure Code

HCPCS code 88289 is the #6,017 most-billed Medicaid procedure code, with $106K in payments across 9K claims from 2018–2024. The national median cost per claim is $13.26. Costs vary widely — the 90th percentile is $28.15 per claim, 2.1× the median.

Total Paid

$106K

0.00% of all spending

Total Claims

9K

Providers

15

Avg Cost/Claim

$12

National Cost Distribution

How much do providers bill per claim for 88289? Based on 15 providers billing this code nationally.

Median

$13.26

Average

$19.42

Std Dev

$26.54

Max

$110.56

Percentile Distribution (Cost per Claim)

p10
$2.81
p25
$8.03
Median
$13.26
p75
$19.12
p90
$28.15
p95
$55.90
p99
$99.63

50% of providers bill between $8.03 and $19.12 per claim for this code.

90% bill between $2.81 and $28.15.

Top 1% bill above $99.63.

About This Procedure

HCPCS code 88289 was billed by 15 providers across 9K claims, totaling $106K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$13.26

Providers Billing

15

National Spending

$106K

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88289

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$41K
21518415991$21K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$10K
41669463014$10K
5Nationwide Children's Hospital

Columbus, OH · General Acute Care Hospital

$7K
6Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$6K
7Laboratory Corporation Of America Holdings

Research Triangle Park, NC · Clinical Medical Laboratory

$6K
8Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$2K
9Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$1K
10Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$1K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$696
12Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$405
131902059538$260
141316241102$123
15Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$106

Showing top 15 of 15 providers billing this code