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#5695 of 11K

80203

HCPCS Procedure Code

HCPCS code 80203 is the #5,695 most-billed Medicaid procedure code, with $152K in payments across 22K claims from 2018–2024. The national median cost per claim is $7.60.

Total Paid

$152K

0.00% of all spending

Total Claims

22K

Providers

45

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 80203? Based on 45 providers billing this code nationally.

Median

$7.60

Average

$7.80

Std Dev

$4.34

Max

$21.77

Percentile Distribution (Cost per Claim)

p10
$2.90
p25
$4.81
Median
$7.60
p75
$9.69
p90
$13.01
p95
$14.64
p99
$19.95

50% of providers bill between $4.81 and $9.69 per claim for this code.

90% bill between $2.90 and $13.01.

Top 1% bill above $19.95.

About This Procedure

HCPCS code 80203 was billed by 45 providers across 22K claims, totaling $152K in Medicaid payments from 2018–2024. This code was used for 20K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.60

Providers Billing

45

National Spending

$152K

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80203

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$55K
21811997711$13K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$9K
4State Of Mississippi - University Of Mississippi Medical Center

Jackson, MS · General Acute Care Hospital

$8K
5Multicare Health System

Tacoma, WA · Community/Behavioral Health

$7K
6Virginia Commonwealth University Health System Authority

Richmond, VA · General Acute Care Hospital

$6K
7Bioreference Health Llc

Elmwood Park, NJ · Clinical Medical Laboratory

$6K
8Sonora Quest Laboratories Llc

Phoenix, AZ · Clinical Medical Laboratory

$5K
9Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$5K
10The Cleveland Clinic Foundation

Cleveland, OH · General Acute Care Hospital

$5K
111376548271$4K
12Mayo Collaborative Services, Inc

Rochester, MN · Clinical Medical Laboratory

$4K
13Empire City Laboratories, Inc

Brooklyn, NY · Clinical Medical Laboratory

$3K
14Clinical Pathology Laboratories, Inc.

Austin, TX · Clinical Medical Laboratory

$3K
15Upmc Children's Hospital Of Pittsburgh

Pittsburgh, PA · Clinic/Center

$3K
16Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$2K
17Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$2K
18Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$1K
19University Of Kentucky

Lexington, KY · General Acute Care Hospital

$1K
20Quest Diagnostics Clinical Laboratories Inc

Tucker, GA · Clinical Medical Laboratory

$967

Showing top 20 of 45 providers billing this code