88313
HCPCS Procedure Code
HCPCS code 88313 is the #892 most-billed Medicaid procedure code, with $62.6M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $18.95. Costs vary widely — the 90th percentile is $70.85 per claim, 3.7× the median.
Total Paid
$62.6M
0.01% of all spending
Total Claims
1.7M
Providers
2K
Avg Cost/Claim
$37
National Cost Distribution
How much do providers bill per claim for 88313? Based on 2K providers billing this code nationally.
Median
$18.95
Average
$33.31
Std Dev
$50.81
Max
$609.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.76 and $38.52 per claim for this code.
90% bill between $3.34 and $70.85.
Top 1% bill above $244.18.
About This Procedure
HCPCS code 88313 was billed by 2K providers across 1.7M claims, totaling $62.6M in Medicaid payments from 2018–2024. This code was used for 1.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$18.95
Providers Billing
2K
National Spending
$62.6M
Avg/Median Ratio
1.76×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88313
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1598760985 | $2.2M |
| 2 | 1134200744 | $2.0M |
| 3 | 1215921549 | $1.8M |
| 4 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $1.7M |
| 5 | 1467433292 | $1.4M |
| 6 | 1902018161 | $1.4M |
| 7 | 1023124625 | $1.3M |
| 8 | 1134868045 | $1.2M |
| 9 | 1467786467 | $1.1M |
| 10 | 1609019819 | $1.1M |
| 11 | 1033654892 | $982K |
| 12 | 1013013002 | $963K |
| 13 | 1194797993 | $907K |
| 14 | 1184814014 | $781K |
| 15 | 1487663860 | $727K |
| 16 | 1770559981 | $712K |
| 17 | 1417924424 | $706K |
| 18 | 1992812473 | $643K |
| 19 | 1073699971 | $637K |
| 20 | 1164609111 | $604K |
Showing top 20 of 2K providers billing this code