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#4884 of 11K

80162

HCPCS Procedure Code

HCPCS code 80162 is the #4,884 most-billed Medicaid procedure code, with $364K in payments across 98K claims from 2018–2024. The national median cost per claim is $4.56. Costs vary widely — the 90th percentile is $10.61 per claim, 2.3× the median.

Total Paid

$364K

0.00% of all spending

Total Claims

98K

Providers

127

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for 80162? Based on 122 providers billing this code nationally.

Median

$4.56

Average

$5.29

Std Dev

$4.75

Max

$25.94

Percentile Distribution (Cost per Claim)

p10
$0.47
p25
$1.67
Median
$4.56
p75
$6.97
p90
$10.61
p95
$14.77
p99
$21.87

50% of providers bill between $1.67 and $6.97 per claim for this code.

90% bill between $0.47 and $10.61.

Top 1% bill above $21.87.

About This Procedure

HCPCS code 80162 was billed by 127 providers across 98K claims, totaling $364K in Medicaid payments from 2018–2024. This code was used for 81K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.56

Providers Billing

122

National Spending

$364K

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80162

#ProviderTotal Paid
11609273317$76K
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$26K
3Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$23K
41790101681$22K
5Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$18K
6Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$11K
7Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$10K
81093749087$9K
91659373900$8K
101659322360$8K
11Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$8K
12Laboratory Corporation Of America

Seattle, WA · Clinical Medical Laboratory

$7K
13Permanente Medical Group, Inc.

Richmond, CA · Clinical Medical Laboratory

$7K
14Lifescan Labs Of Illinois Llc

Skokie, IL · Clinical Medical Laboratory

$6K
151750364345$6K
161295823540$6K
17Quest Diagnostics Massachusetts Llc

Marlborough, MA · Clinical Medical Laboratory

$6K
18Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$5K
19Laboratory Corporation Of America

San Diego, CA · Clinical Medical Laboratory

$5K
20Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$5K

Showing top 20 of 127 providers billing this code