80198
HCPCS Procedure Code
HCPCS code 80198 is the #7,391 most-billed Medicaid procedure code, with $19K in payments across 2,934 claims from 2018–2024. The national median cost per claim is $6.47.
Total Paid
$19K
0.00% of all spending
Total Claims
2,934
Providers
15
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 80198? Based on 15 providers billing this code nationally.
Median
$6.47
Average
$7.24
Std Dev
$5.04
Max
$20.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.01 and $9.50 per claim for this code.
90% bill between $2.05 and $12.43.
Top 1% bill above $19.24.
About This Procedure
HCPCS code 80198 was billed by 15 providers across 2,934 claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 2,586 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.47
Providers Billing
15
National Spending
$19K
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80198
| # | Provider | Total Paid |
|---|---|---|
| 1 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $6K |
| 2 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $3K |
| 3 | 1790101681 | $3K |
| 4 | 1063719425 | $2K |
| 5 | 1679660617 | $1K |
| 6 | Laboratory Corporation Of America Holdings Birmingham, AL · Clinical Medical Laboratory | $926 |
| 7 | 1831600295 | $752 |
| 8 | Quest Diagnostics Massachusetts Llc Marlborough, MA · Clinical Medical Laboratory | $524 |
| 9 | 1861827701 | $382 |
| 10 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $278 |
| 11 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $233 |
| 12 | 1902010903 | $138 |
| 13 | 1518917350 | $124 |
| 14 | 1548296106 | $99 |
| 15 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $43 |
Showing top 15 of 15 providers billing this code