80157
HCPCS Procedure Code
HCPCS code 80157 is the #5,385 most-billed Medicaid procedure code, with $212K in payments across 19K claims from 2018–2024. The national median cost per claim is $7.05.
Total Paid
$212K
0.00% of all spending
Total Claims
19K
Providers
13
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 80157? Based on 13 providers billing this code nationally.
Median
$7.05
Average
$7.38
Std Dev
$2.99
Max
$12.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.72 and $8.55 per claim for this code.
90% bill between $4.73 and $11.57.
Top 1% bill above $12.51.
About This Procedure
HCPCS code 80157 was billed by 13 providers across 19K claims, totaling $212K in Medicaid payments from 2018–2024. This code was used for 17K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.05
Providers Billing
13
National Spending
$212K
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80157
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871960195 | $111K |
| 2 | 1609273317 | $73K |
| 3 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $16K |
| 4 | 1962903575 | $5K |
| 5 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $3K |
| 6 | 1447296272 | $2K |
| 7 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $452 |
| 8 | 1073587937 | $255 |
| 9 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $181 |
| 10 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $92 |
| 11 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $87 |
| 12 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $61 |
| 13 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $42 |
Showing top 13 of 13 providers billing this code