80179
HCPCS Procedure Code
HCPCS code 80179 is the #2,332 most-billed Medicaid procedure code, with $6.6M in payments across 832K claims from 2018–2024. The national median cost per claim is $5.70. Costs vary widely — the 90th percentile is $19.63 per claim, 3.4× the median.
Total Paid
$6.6M
0.00% of all spending
Total Claims
832K
Providers
1,058
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 80179? Based on 898 providers billing this code nationally.
Median
$5.70
Average
$9.77
Std Dev
$15.30
Max
$127.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.91 and $12.03 per claim for this code.
90% bill between $0.11 and $19.63.
Top 1% bill above $92.75.
About This Procedure
HCPCS code 80179 was billed by 1,058 providers across 832K claims, totaling $6.6M in Medicaid payments from 2018–2024. This code was used for 733K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.70
Providers Billing
898
National Spending
$6.6M
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80179
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1356390264 | $462K |
| 2 | 1699129601 | $248K |
| 3 | 1811946734 | $218K |
| 4 | Grossmont Hospital Corporation La Mesa, CA · General Acute Care Hospital | $213K |
| 5 | 1194774299 | $157K |
| 6 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $146K |
| 7 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $127K |
| 8 | 1063812907 | $127K |
| 9 | 1306991211 | $114K |
| 10 | 1720088354 | $102K |
| 11 | Cambridge Public Health Commission Cambridge, MA · General Acute Care Hospital | $83K |
| 12 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $78K |
| 13 | 1467808659 | $78K |
| 14 | Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women | $74K |
| 15 | 1427007384 | $61K |
| 16 | 1689282147 | $59K |
| 17 | 1740413798 | $57K |
| 18 | 1417901091 | $54K |
| 19 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $53K |
| 20 | 1821442864 | $52K |
Showing top 20 of 1,058 providers billing this code