80195
HCPCS Procedure Code
HCPCS code 80195 is the #4,019 most-billed Medicaid procedure code, with $925K in payments across 85K claims from 2018–2024. The national median cost per claim is $6.47. Costs vary widely — the 90th percentile is $19.22 per claim, 3.0× the median.
Total Paid
$925K
0.00% of all spending
Total Claims
85K
Providers
102
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for 80195? Based on 100 providers billing this code nationally.
Median
$6.47
Average
$10.74
Std Dev
$17.80
Max
$154.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.92 and $11.02 per claim for this code.
90% bill between $1.70 and $19.22.
Top 1% bill above $65.82.
About This Procedure
HCPCS code 80195 was billed by 102 providers across 85K claims, totaling $925K in Medicaid payments from 2018–2024. This code was used for 56K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.47
Providers Billing
100
National Spending
$925K
Avg/Median Ratio
1.66×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80195
| # | Provider | Total Paid |
|---|---|---|
| 1 | Johns Hopkins All Children's Hospital Inc St Petersburg, FL · General Acute Care Hospital Children | $174K |
| 2 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $161K |
| 3 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $77K |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $39K |
| 5 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $38K |
| 6 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $29K |
| 7 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $29K |
| 8 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $27K |
| 9 | 1922008150 | $24K |
| 10 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $18K |
| 11 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $16K |
| 12 | Children's Hospital Corporation Boston, MA · Clinic/Center | $15K |
| 13 | 1316241102 | $14K |
| 14 | 1891873303 | $12K |
| 15 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $11K |
| 16 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $11K |
| 17 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $10K |
| 18 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $9K |
| 19 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $9K |
| 20 | 1710287297 | $8K |
Showing top 20 of 102 providers billing this code