80155
HCPCS Procedure Code
HCPCS code 80155 is the #8,861 most-billed Medicaid procedure code, with $949 in payments across 1,551 claims from 2018–2024. The national median cost per claim is $0.52. Costs vary widely — the 90th percentile is $2.76 per claim, 5.3× the median.
Total Paid
$949
0.00% of all spending
Total Claims
1,551
Providers
5
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 80155? Based on 4 providers billing this code nationally.
Median
$0.52
Average
$1.20
Std Dev
$1.64
Max
$3.63
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.25 and $1.46 per claim for this code.
90% bill between $0.17 and $2.76.
Top 1% bill above $3.54.
About This Procedure
HCPCS code 80155 was billed by 5 providers across 1,551 claims, totaling $949 in Medicaid payments from 2018–2024. This code was used for 1,118 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$0.52
Providers Billing
4
National Spending
$949
Avg/Median Ratio
2.31×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 80155
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1639508757 | $563 |
| 2 | 1962903575 | $332 |
| 3 | 1255656153 | $29 |
| 4 | 1366468027 | $25 |
| 5 | 1578223632 | $0 |
Showing top 5 of 5 providers billing this code