80158
HCPCS Procedure Code
HCPCS code 80158 is the #4,790 most-billed Medicaid procedure code, with $400K in payments across 40K claims from 2018–2024. The national median cost per claim is $8.27. Costs vary widely — the 90th percentile is $18.27 per claim, 2.2× the median.
Total Paid
$400K
0.00% of all spending
Total Claims
40K
Providers
68
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for 80158? Based on 68 providers billing this code nationally.
Median
$8.27
Average
$10.52
Std Dev
$9.59
Max
$70.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.75 and $12.66 per claim for this code.
90% bill between $3.60 and $18.27.
Top 1% bill above $44.10.
About This Procedure
HCPCS code 80158 was billed by 68 providers across 40K claims, totaling $400K in Medicaid payments from 2018–2024. This code was used for 26K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.27
Providers Billing
68
National Spending
$400K
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80158
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $52K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $43K |
| 3 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $33K |
| 4 | 1891873303 | $30K |
| 5 | Permanente Medical Group, Inc. Richmond, CA · Clinical Medical Laboratory | $25K |
| 6 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $24K |
| 7 | 1164493847 | $18K |
| 8 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $16K |
| 9 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $14K |
| 10 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $13K |
| 11 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $11K |
| 12 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $9K |
| 13 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $8K |
| 14 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $7K |
| 15 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $6K |
| 16 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $6K |
| 17 | 1073587937 | $6K |
| 18 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $5K |
| 19 | Quest Diagnostics Llc Marlborough, MA · Clinical Medical Laboratory | $5K |
| 20 | 1316241102 | $5K |
Showing top 20 of 68 providers billing this code