80202
HCPCS Procedure Code
HCPCS code 80202 is the #2,750 most-billed Medicaid procedure code, with $3.8M in payments across 933K claims from 2018–2024. The national median cost per claim is $4.80. Costs vary widely — the 90th percentile is $9.73 per claim, 2.0× the median.
Total Paid
$3.8M
0.00% of all spending
Total Claims
933K
Providers
530
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for 80202? Based on 492 providers billing this code nationally.
Median
$4.80
Average
$5.37
Std Dev
$4.57
Max
$40.36
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.14 and $7.05 per claim for this code.
90% bill between $1.23 and $9.73.
Top 1% bill above $22.07.
About This Procedure
HCPCS code 80202 was billed by 530 providers across 933K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 412K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.80
Providers Billing
492
National Spending
$3.8M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80202
| # | Provider | Total Paid |
|---|---|---|
| 1 | Sonora Quest Laboratories Llc Phoenix, AZ · Clinical Medical Laboratory | $198K |
| 2 | 1790101681 | $176K |
| 3 | 1659322360 | $95K |
| 4 | 1467669259 | $75K |
| 5 | 1659373900 | $73K |
| 6 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $69K |
| 7 | Unilab Corporation West Hills, CA · Clinical Medical Laboratory | $63K |
| 8 | 1245720820 | $61K |
| 9 | 1295823540 | $59K |
| 10 | 1518917350 | $58K |
| 11 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $56K |
| 12 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $55K |
| 13 | 1093749087 | $54K |
| 14 | Florida Clinical Practice Association Inc Gainesville, FL · Surgery | $52K |
| 15 | Lifescan Labs Of Illinois Llc Skokie, IL · Clinical Medical Laboratory | $51K |
| 16 | 1730119553 | $50K |
| 17 | 1093756157 | $47K |
| 18 | 1457354656 | $47K |
| 19 | 1588712285 | $46K |
| 20 | 1750364345 | $46K |
Showing top 20 of 530 providers billing this code