80165
HCPCS Procedure Code
HCPCS code 80165 is the #4,484 most-billed Medicaid procedure code, with $557K in payments across 93K claims from 2018–2024. The national median cost per claim is $5.89.
Total Paid
$557K
0.00% of all spending
Total Claims
93K
Providers
103
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 80165? Based on 101 providers billing this code nationally.
Median
$5.89
Average
$7.03
Std Dev
$5.97
Max
$45.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.91 and $8.35 per claim for this code.
90% bill between $1.90 and $11.01.
Top 1% bill above $31.44.
About This Procedure
HCPCS code 80165 was billed by 103 providers across 93K claims, totaling $557K in Medicaid payments from 2018–2024. This code was used for 85K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.89
Providers Billing
101
National Spending
$557K
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80165
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $123K |
| 2 | Northwell Health Laboratories New Hyde Park, NY · Clinical Medical Laboratory | $80K |
| 3 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $43K |
| 4 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $26K |
| 5 | 1447296272 | $19K |
| 6 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $15K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $14K |
| 8 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $13K |
| 9 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $11K |
| 10 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $11K |
| 11 | Quest Diagnostics Llc Il Wood Dale, IL · Clinical Medical Laboratory | $11K |
| 12 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $10K |
| 13 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $9K |
| 14 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $9K |
| 15 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $9K |
| 16 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $8K |
| 17 | Accurate Diagnostics Labs, Inc. South Plainfield, NJ · Clinical Medical Laboratory | $8K |
| 18 | 1124136593 | $7K |
| 19 | Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory | $7K |
| 20 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $6K |
Showing top 20 of 103 providers billing this code