80101
HCPCS Procedure Code
HCPCS code 80101 is the #4,779 most-billed Medicaid procedure code, with $408K in payments across 30K claims from 2018–2024. The national median cost per claim is $15.03.
Total Paid
$408K
0.00% of all spending
Total Claims
30K
Providers
13
Avg Cost/Claim
$13
National Cost Distribution
How much do providers bill per claim for 80101? Based on 2 providers billing this code nationally.
Median
$15.03
Average
$15.03
Std Dev
$0.04
Max
$15.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.01 and $15.04 per claim for this code.
90% bill between $15.01 and $15.05.
Top 1% bill above $15.05.
About This Procedure
HCPCS code 80101 was billed by 13 providers across 30K claims, totaling $408K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$15.03
Providers Billing
2
National Spending
$408K
Avg/Median Ratio
1.00×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80101
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346291986 | $329K |
| 2 | 1881841120 | $79K |
| 3 | 1447332036 | $0 |
| 4 | 1891909867 | $0 |
| 5 | 1699703686 | $0 |
| 6 | 1215350848 | $0 |
| 7 | 1124112933 | $0 |
| 8 | 1306037247 | $0 |
| 9 | 1366499733 | $0 |
| 10 | 1124257324 | $0 |
| 11 | 1336173194 | $0 |
| 12 | Cornell Scott Hill Health Corporation New Haven, CT · Psychiatry & Neurology, Child & Adolescent Psychiatry | $0 |
| 13 | 1225550874 | $0 |
Showing top 13 of 13 providers billing this code