88319
HCPCS Procedure Code
HCPCS code 88319 is the #4,237 most-billed Medicaid procedure code, with $723K in payments across 8K claims from 2018–2024. The national median cost per claim is $50.50. Costs vary widely — the 90th percentile is $184.64 per claim, 3.7× the median.
Total Paid
$723K
0.00% of all spending
Total Claims
8K
Providers
5
Avg Cost/Claim
$90
National Cost Distribution
How much do providers bill per claim for 88319? Based on 5 providers billing this code nationally.
Median
$50.50
Average
$91.05
Std Dev
$90.99
Max
$247.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.32 and $90.18 per claim for this code.
90% bill between $30.92 and $184.64.
Top 1% bill above $241.31.
About This Procedure
HCPCS code 88319 was billed by 5 providers across 8K claims, totaling $723K in Medicaid payments from 2018–2024. This code was used for 8K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$50.50
Providers Billing
5
National Spending
$723K
Avg/Median Ratio
1.80×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 88319
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447244256 | $717K |
| 2 | 1255828174 | $3K |
| 3 | 1316987746 | $1K |
| 4 | U Of R Neurology Department Rochester, NY · Psychiatry & Neurology Neurology | $1K |
| 5 | 1295143675 | $392 |
Showing top 5 of 5 providers billing this code