80321
HCPCS Procedure Code
HCPCS code 80321 is the #1,676 most-billed Medicaid procedure code, with $16.3M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $6.61. Costs vary widely — the 90th percentile is $18.61 per claim, 2.8× the median.
Total Paid
$16.3M
0.00% of all spending
Total Claims
2.3M
Providers
297
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 80321? Based on 263 providers billing this code nationally.
Median
$6.61
Average
$10.15
Std Dev
$16.07
Max
$217.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.06 and $12.98 per claim for this code.
90% bill between $0.64 and $18.61.
Top 1% bill above $44.60.
About This Procedure
HCPCS code 80321 was billed by 297 providers across 2.3M claims, totaling $16.3M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.61
Providers Billing
263
National Spending
$16.3M
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80321
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $4.5M |
| 2 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $1.9M |
| 3 | Simple Laboratories Llc Harwood Heights, IL · Clinical Medical Laboratory | $775K |
| 4 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $644K |
| 5 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $617K |
| 6 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $495K |
| 7 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $474K |
| 8 | 1215272406 | $371K |
| 9 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $344K |
| 10 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $318K |
| 11 | 1700844339 | $305K |
| 12 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $292K |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $266K |
| 14 | 1427543586 | $257K |
| 15 | 1982091617 | $214K |
| 16 | Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory | $167K |
| 17 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $155K |
| 18 | 1194744185 | $154K |
| 19 | 1972888139 | $137K |
| 20 | 1568724243 | $136K |
Showing top 20 of 297 providers billing this code