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#4279 of 11K

80184

HCPCS Procedure Code

HCPCS code 80184 is the #4,279 most-billed Medicaid procedure code, with $697K in payments across 136K claims from 2018–2024. The national median cost per claim is $4.32. Costs vary widely — the 90th percentile is $10.49 per claim, 2.4× the median.

Total Paid

$697K

0.00% of all spending

Total Claims

136K

Providers

130

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 80184? Based on 119 providers billing this code nationally.

Median

$4.32

Average

$7.97

Std Dev

$23.76

Max

$246.63

Percentile Distribution (Cost per Claim)

p10
$1.06
p25
$2.10
Median
$4.32
p75
$7.16
p90
$10.49
p95
$14.60
p99
$76.00

50% of providers bill between $2.10 and $7.16 per claim for this code.

90% bill between $1.06 and $10.49.

Top 1% bill above $76.00.

About This Procedure

HCPCS code 80184 was billed by 130 providers across 136K claims, totaling $697K in Medicaid payments from 2018–2024. This code was used for 113K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.32

Providers Billing

119

National Spending

$697K

Avg/Median Ratio

1.84×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 80184

#ProviderTotal Paid
11871960195$105K
21609273317$101K
3Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$63K
4Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$54K
5Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$26K
6Children's Hospital Of Wisconsin, Inc.

Milwaukee, WI · Dentist, Pediatric Dentistry

$25K
71790101681$22K
8Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$18K
9Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$18K
10Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$18K
11Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$15K
121093749087$14K
131033239413$14K
14Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$12K
151376944793$10K
161922008150$10K
171902032121$9K
18Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$8K
191659322360$8K
20Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$7K

Showing top 20 of 130 providers billing this code