80159
HCPCS Procedure Code
HCPCS code 80159 is the #3,390 most-billed Medicaid procedure code, with $1.8M in payments across 231K claims from 2018–2024. The national median cost per claim is $8.18.
Total Paid
$1.8M
0.00% of all spending
Total Claims
231K
Providers
125
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 80159? Based on 121 providers billing this code nationally.
Median
$8.18
Average
$9.06
Std Dev
$4.32
Max
$19.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.94 and $11.70 per claim for this code.
90% bill between $3.72 and $15.69.
Top 1% bill above $18.98.
About This Procedure
HCPCS code 80159 was billed by 125 providers across 231K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 179K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$8.18
Providers Billing
121
National Spending
$1.8M
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80159
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $342K |
| 2 | 1609273317 | $98K |
| 3 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $84K |
| 4 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $84K |
| 5 | 1447296272 | $81K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $71K |
| 7 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $65K |
| 8 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $57K |
| 9 | Unilab Corporation Sacramento, CA · Clinical Medical Laboratory | $56K |
| 10 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $52K |
| 11 | 1811997711 | $38K |
| 12 | Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory | $37K |
| 13 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $34K |
| 14 | 1750364345 | $33K |
| 15 | 1215930987 | $33K |
| 16 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $27K |
| 17 | 1720029960 | $24K |
| 18 | Bioreference Health Llc Elmwood Park, NJ · Clinical Medical Laboratory | $21K |
| 19 | Laboratory Corporation Of America Seattle, WA · Clinical Medical Laboratory | $20K |
| 20 | Quest Diagnostics Incorporated Md Baltimore, MD · Clinical Medical Laboratory | $19K |
Showing top 20 of 125 providers billing this code