80323
HCPCS Procedure Code
HCPCS code 80323 is the #1,850 most-billed Medicaid procedure code, with $12.7M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $7.53. Costs vary widely — the 90th percentile is $17.71 per claim, 2.4× the median.
Total Paid
$12.7M
0.00% of all spending
Total Claims
2.0M
Providers
287
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 80323? Based on 252 providers billing this code nationally.
Median
$7.53
Average
$9.46
Std Dev
$10.61
Max
$107.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.19 and $12.94 per claim for this code.
90% bill between $1.32 and $17.71.
Top 1% bill above $44.05.
About This Procedure
HCPCS code 80323 was billed by 287 providers across 2.0M claims, totaling $12.7M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.53
Providers Billing
252
National Spending
$12.7M
Avg/Median Ratio
1.26×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80323
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $2.8M |
| 2 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $1.1M |
| 3 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $967K |
| 4 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $752K |
| 5 | 1194744185 | $379K |
| 6 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $309K |
| 7 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $287K |
| 8 | Dominion Diagnostics, Llc North Kingstown, RI · Clinical Medical Laboratory | $277K |
| 9 | 1982091617 | $261K |
| 10 | 1568724243 | $247K |
| 11 | 1073961108 | $222K |
| 12 | 1821092297 | $191K |
| 13 | 1649418351 | $172K |
| 14 | 1639778921 | $157K |
| 15 | Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory | $151K |
| 16 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $150K |
| 17 | Ideal Option, Pllc Pasco, WA · Preventive Medicine, Addiction Medicine | $145K |
| 18 | 1518950732 | $145K |
| 19 | 1316370950 | $140K |
| 20 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $119K |
Showing top 20 of 287 providers billing this code