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#3820 of 11K

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)

p10
$3.39
p25
$18.75
Median
$46.78
p75
$68.12
p90
$86.79
p95
$99.44
p99
$153.76

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

#ProviderTotal Paid
11508890468$192K
21922074434$190K
31558311811$92K
4University Of Kentucky

Lexington, KY · General Acute Care Hospital

$91K
51447299797$90K
61083713820$68K
71336223635$45K
8West Virginia University Medical Corporation

Morgantown, WV · Anesthesiology

$45K
91285682799$43K
101023150182$22K
11William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$21K
121952940850$14K
131063530178$14K
141811402423$11K
151033193875$11K
161407060411$9K
171174503999$8K
18Tricore Inc.

Albuquerque, NM · Clinical Medical Laboratory

$8K
191871503474$7K
201568570471$6K

Showing top 20 of 119 providers billing this code