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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487868097 | $1.4M |
| 2 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $943K |
| 3 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $709K |
| 4 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $474K |
| 5 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $426K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $422K |
| 7 | 1235148941 | $408K |
| 8 | 1922008150 | $407K |
| 9 | St Petersburg Kidney Care South Llc St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $378K |
| 10 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $350K |
| 11 | 1154373843 | $346K |
| 12 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $309K |
| 13 | 1316315955 | $305K |
| 14 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $271K |
| 15 | 1396813861 | $270K |
| 16 | 1609988450 | $253K |
| 17 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $250K |
| 18 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $248K |
| 19 | 1740208081 | $243K |
| 20 | 1326314295 | $241K |
Showing top 20 of 3K providers billing this code