#638 of 11K

80074

HCPCS Procedure Code

HCPCS code 80074 is the #638 most-billed Medicaid procedure code, with $118.0M in payments across 5.3M claims from 2018–2024. The national median cost per claim is $27.54.

Total Paid

$118.0M

0.01% of all spending

Total Claims

5.3M

Providers

Avg Cost/Claim

$22

National Cost Distribution

How much do providers bill per claim for 80074? Based on 2K providers billing this code nationally.

Median

$27.54

Average

$30.32

Std Dev

$28.96

Max

$385.43

Percentile Distribution (Cost per Claim)

p10

$5.90

p25

$12.83

Median

$27.54

p75

$42.43

p90

$49.63

p95

$59.79

p99

$112.52

50% of providers bill between $12.83 and $42.43 per claim for this code.

90% bill between $5.90 and $49.63.

Top 1% bill above $112.52.

About This Procedure

HCPCS code 80074 was billed by 2K providers across 5.3M claims, totaling $118.0M in Medicaid payments from 2018–2024. This code was used for 4.9M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$27.54

Providers Billing

National Spending

$118.0M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80074

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory	$9.9M	$26.86	1.0× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$6.5M	$25.33	0.9× median	Below Median
3	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$6.0M	$15.95	0.6× median	Below Median
4	Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory	$3.3M	$31.62	1.1× median	Above Median
5	Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital	$3.1M	$382.43	13.9× median	Top 1%
6	Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory	$3.0M	$18.32	0.7× median	Below Median
7	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$2.6M	$10.44	0.4× median	Below Median
8	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$2.1M	$15.34	0.6× median	Below Median
9	Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory	$2.1M	$20.35	0.7× median	Below Median
10	1144202003	$2.0M	$33.07	1.2× median	Above Median
11	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$1.9M	$26.26	1.0× median	Below Median
12	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$1.9M	$38.12	1.4× median	Above Median
13	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$1.8M	$26.78	1.0× median	Below Median
14	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$1.6M	$21.24	0.8× median	Below Median
15	1598747651	$1.5M	$44.98	1.6× median	Above 75th
16	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$1.4M	$17.38	0.6× median	Below Median
17	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$1.4M	$18.86	0.7× median	Below Median
18	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$1.4M	$20.32	0.7× median	Below Median
19	Laboratory Corporation Of America Phoenix, AZ · Clinical Medical Laboratory	$1.4M	$13.07	0.5× median	Below Median
20	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$1.3M	$4.82	0.2× median	Below Median

Showing top 20 of 2K providers billing this code

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