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#4237 of 11K

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)

p10
$30.92
p25
$46.32
Median
$50.50
p75
$90.18
p90
$184.64
p95
$216.12
p99
$241.31

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

#ProviderTotal Paid
11447244256$717K
21255828174$3K
31316987746$1K
4U Of R Neurology Department

Rochester, NY · Psychiatry & Neurology Neurology

$1K
51295143675$392

Showing top 5 of 5 providers billing this code