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#4733 of 11K

72080

HCPCS Procedure Code

HCPCS code 72080 is the #4,733 most-billed Medicaid procedure code, with $428K in payments across 18K claims from 2018–2024. The national median cost per claim is $19.07.

Total Paid

$428K

0.00% of all spending

Total Claims

18K

Providers

97

Avg Cost/Claim

$24

National Cost Distribution

How much do providers bill per claim for 72080? Based on 92 providers billing this code nationally.

Median

$19.07

Average

$21.27

Std Dev

$17.35

Max

$112.00

Percentile Distribution (Cost per Claim)

p10
$4.33
p25
$7.96
Median
$19.07
p75
$27.36
p90
$38.05
p95
$49.91
p99
$77.16

50% of providers bill between $7.96 and $27.36 per claim for this code.

90% bill between $4.33 and $38.05.

Top 1% bill above $77.16.

About This Procedure

HCPCS code 72080 was billed by 97 providers across 18K claims, totaling $428K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$19.07

Providers Billing

92

National Spending

$428K

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 72080

#ProviderTotal Paid
1Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$105K
21689738981$88K
31548247000$50K
4The Cooper Health System

Camden, NJ · General Acute Care Hospital

$36K
5Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$13K
6Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$12K
71669657318$11K
8Southern California Permanente Medical Group

Fontana, CA · Health Maintenance Organization

$8K
91336188291$8K
101972570075$8K
111649217514$7K
121780927608$6K
131386758423$6K
14Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$6K
15University Of Kentucky

Lexington, KY · General Acute Care Hospital

$5K
16Arkansas Childrens Hospital

Little Rock, AR · Clinic/Center, Critical Access Hospital

$3K
17Southern California Permanente Medical Group

Anaheim, CA · Health Maintenance Organization

$3K
18Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$2K
191508942681$2K
201922407626$2K

Showing top 20 of 97 providers billing this code