#2300 of 11K

88374

HCPCS Procedure Code

HCPCS code 88374 is the #2,300 most-billed Medicaid procedure code, with $7.0M in payments across 72K claims from 2018–2024. The national median cost per claim is $91.41. Costs vary widely — the 90th percentile is $203.57 per claim, 2.2× the median.

Total Paid

$7.0M

0.00% of all spending

Total Claims

72K

Providers

Avg Cost/Claim

$97

National Cost Distribution

How much do providers bill per claim for 88374? Based on 29 providers billing this code nationally.

Median

$91.41

Average

$96.82

Std Dev

$78.45

Max

$322.14

Percentile Distribution (Cost per Claim)

p10

$23.03

p25

$37.94

Median

$91.41

p75

$130.29

p90

$203.57

p95

$220.50

p99

$295.71

50% of providers bill between $37.94 and $130.29 per claim for this code.

90% bill between $23.03 and $203.57.

Top 1% bill above $295.71.

About This Procedure

HCPCS code 88374 was billed by 29 providers across 72K claims, totaling $7.0M in Medicaid payments from 2018–2024. This code was used for 52K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$91.41

Providers Billing

National Spending

$7.0M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 88374

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1447437355	$2.1M	$91.41	1.0× median	Below Median
2	1073549663	$1.8M	$94.23	1.0× median	Above Median
3	Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory	$1.2M	$117.33	1.3× median	Above Median
4	1396408829	$1.0M	$146.87	1.6× median	Above 75th
5	1003245317	$237K	$47.95	0.5× median	Below Median
6	1922079706	$178K	$188.94	2.1× median	Above 75th
7	1740240753	$147K	$48.29	0.5× median	Below Median
8	1649375189	$70K	$111.29	1.2× median	Above Median
9	1811955917	$57K	$94.23	1.0× median	Above Median
10	1124075635	$55K	$227.73	2.5× median	Top 10%
11	1407060411	$35K	$96.16	1.1× median	Above Median
12	Associated Pathologists, Llc Nashville, TN · Medical Genetics, Clinical Genetics (M.D.)	$28K	$209.64	2.3× median	Top 10%
13	1174503999	$17K	$98.40	1.1× median	Above Median
14	1922075886	$17K	$35.28	0.4× median	Below Median
15	1083713820	$14K	$59.53	0.7× median	Below Median
16	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$14K	$130.29	1.4× median	Above 75th
17	1699884858	$7K	$13.21	0.1× median	Below Median
18	Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital	$6K	$195.30	2.1× median	Above 75th
19	1912307547	$6K	$202.06	2.2× median	Above 75th
20	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$5K	$322.14	3.5× median	Top 1%

Showing top 20 of 29 providers billing this code

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