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#1293 of 11K

80069

Renal function panel

Renal function panel is the #1,293 most-billed Medicaid procedure code, with $28.6M in payments across 4.2M claims from 2018–2024. The national median cost per claim is $4.12. Costs vary widely — the 90th percentile is $16.11 per claim, 3.9× the median.

Total Paid

$28.6M

0.00% of all spending

Total Claims

4.2M

Providers

3K

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 80069? Based on 2K providers billing this code nationally.

Median

$4.12

Average

$12.44

Std Dev

$36.79

Max

$592.35

Percentile Distribution (Cost per Claim)

p10
$0.26
p25
$1.29
Median
$4.12
p75
$7.71
p90
$16.11
p95
$47.86
p99
$186.06

50% of providers bill between $1.29 and $7.71 per claim for this code.

90% bill between $0.26 and $16.11.

Top 1% bill above $186.06.

About This Procedure

HCPCS code 80069 (Renal function panel) was billed by 3K providers across 4.2M claims, totaling $28.6M in Medicaid payments from 2018–2024. This code was used for 3.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.12

Providers Billing

2K

National Spending

$28.6M

Avg/Median Ratio

3.02×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 80069

#ProviderTotal Paid
11487868097$1.4M
2Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$943K
3Alaska Native Tribal Health Consortium

Anchorage, AK · General Acute Care Hospital

$709K
4Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$474K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$426K
6Medical University Hospital Authority

Charleston, SC · General Acute Care Hospital

$422K
71235148941$408K
81922008150$407K
9St Petersburg Kidney Care South Llc

St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment

$378K
10Arkansas Childrens Hospital

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

$350K
111154373843$346K
12Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$309K
131316315955$305K
14Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$271K
151396813861$270K
161609988450$253K
17University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$250K
18Children's Hospital Medical Center

Cincinnati, OH · Clinic/Center, Primary Care

$248K
191740208081$243K
201326314295$241K

Showing top 20 of 3K providers billing this code