80104
HCPCS Procedure Code
HCPCS code 80104 is the #3,261 most-billed Medicaid procedure code, with $2.1M in payments across 92K claims from 2018–2024. The national median cost per claim is $23.00.
Total Paid
$2.1M
0.00% of all spending
Total Claims
92K
Providers
2
Avg Cost/Claim
$23
National Cost Distribution
How much do providers bill per claim for 80104? Based on 1 providers billing this code nationally.
Median
$23.00
Average
$23.00
Std Dev
—
Max
$23.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.00 and $23.00 per claim for this code.
90% bill between $23.00 and $23.00.
Top 1% bill above $23.00.
About This Procedure
HCPCS code 80104 was billed by 2 providers across 92K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$23.00
Providers Billing
1
National Spending
$2.1M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.