88331
HCPCS Procedure Code
HCPCS code 88331 is the #3,820 most-billed Medicaid procedure code, with $1.1M in payments across 21K claims from 2018–2024. The national median cost per claim is $46.78.
Total Paid
$1.1M
0.00% of all spending
Total Claims
21K
Providers
119
Avg Cost/Claim
$53
National Cost Distribution
How much do providers bill per claim for 88331? Based on 97 providers billing this code nationally.
Median
$46.78
Average
$47.33
Std Dev
$38.13
Max
$242.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $18.75 and $68.12 per claim for this code.
90% bill between $3.39 and $86.79.
Top 1% bill above $153.76.
About This Procedure
HCPCS code 88331 was billed by 119 providers across 21K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 19K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$46.78
Providers Billing
97
National Spending
$1.1M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 88331
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1508890468 | $192K |
| 2 | 1922074434 | $190K |
| 3 | 1558311811 | $92K |
| 4 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $91K |
| 5 | 1447299797 | $90K |
| 6 | 1083713820 | $68K |
| 7 | 1336223635 | $45K |
| 8 | West Virginia University Medical Corporation Morgantown, WV · Anesthesiology | $45K |
| 9 | 1285682799 | $43K |
| 10 | 1023150182 | $22K |
| 11 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $21K |
| 12 | 1952940850 | $14K |
| 13 | 1063530178 | $14K |
| 14 | 1811402423 | $11K |
| 15 | 1033193875 | $11K |
| 16 | 1407060411 | $9K |
| 17 | 1174503999 | $8K |
| 18 | Tricore Inc. Albuquerque, NM · Clinical Medical Laboratory | $8K |
| 19 | 1871503474 | $7K |
| 20 | 1568570471 | $6K |
Showing top 20 of 119 providers billing this code