80201
HCPCS Procedure Code
HCPCS code 80201 is the #4,796 most-billed Medicaid procedure code, with $397K in payments across 53K claims from 2018–2024. The national median cost per claim is $7.16.
Total Paid
$397K
0.00% of all spending
Total Claims
53K
Providers
66
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 80201? Based on 64 providers billing this code nationally.
Median
$7.16
Average
$7.77
Std Dev
$4.92
Max
$26.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.64 and $10.21 per claim for this code.
90% bill between $2.25 and $12.53.
Top 1% bill above $24.35.
About This Procedure
HCPCS code 80201 was billed by 66 providers across 53K claims, totaling $397K in Medicaid payments from 2018–2024. This code was used for 48K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.16
Providers Billing
64
National Spending
$397K
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80201
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1871960195 | $124K |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $77K |
| 3 | 1609273317 | $67K |
| 4 | 1447296272 | $14K |
| 5 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $11K |
| 6 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $9K |
| 7 | Mayo Collaborative Services, Inc Rochester, MN · Clinical Medical Laboratory | $8K |
| 8 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $8K |
| 9 | Laboratory Corporation Of America Holdings Dublin, OH · Clinical Medical Laboratory | $7K |
| 10 | 1376548271 | $6K |
| 11 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $5K |
| 12 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $5K |
| 13 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $4K |
| 14 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4K |
| 15 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $3K |
| 16 | Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory | $3K |
| 17 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $3K |
| 18 | Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory | $3K |
| 19 | 1811997711 | $3K |
| 20 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2K |
Showing top 20 of 66 providers billing this code