#5138 of 11K

80330

HCPCS Procedure Code

HCPCS code 80330 is the #5,138 most-billed Medicaid procedure code, with $278K in payments across 44K claims from 2018–2024. The national median cost per claim is $2.38. Costs vary widely — the 90th percentile is $19.96 per claim, 8.4× the median.

Total Paid

$278K

0.00% of all spending

Total Claims

44K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80330? Based on 20 providers billing this code nationally.

Median

$2.38

Average

$8.08

Std Dev

$12.90

Max

$52.33

Percentile Distribution (Cost per Claim)

p10

$0.46

p25

$1.04

Median

$2.38

p75

$7.64

p90

$19.96

p95

$30.95

p99

$48.06

50% of providers bill between $1.04 and $7.64 per claim for this code.

90% bill between $0.46 and $19.96.

Top 1% bill above $48.06.

About This Procedure

HCPCS code 80330 was billed by 26 providers across 44K claims, totaling $278K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.38

Providers Billing

National Spending

$278K

Avg/Median Ratio

3.39×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 80330

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital	$108K	$29.83	12.5× median	Top 10%
2	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$47K	$8.99	3.8× median	Above 75th
3	1639508757	$36K	$52.33	22.0× median	Top 1%
4	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$35K	$5.94	2.5× median	Above Median
5	1215272406	$21K	$15.82	6.6× median	Above 75th
6	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$10K	$4.48	1.9× median	Above Median
7	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$6K	$1.72	0.7× median	Below Median
8	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$5K	$1.85	0.8× median	Below Median
9	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$2K	$1.06	0.4× median	Below Median
10	1447296272	$2K	$2.83	1.2× median	Above Median
11	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$2K	$1.53	0.6× median	Below Median
12	1053841023	$975	$1.93	0.8× median	Below Median
13	1649248626	$690	$7.19	3.0× median	Above Median
14	1366468027	$562	$0.15	0.1× median	Below Median
15	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$507	$4.37	1.8× median	Above Median
16	1750312997	$358	$18.87	7.9× median	Above 75th
17	Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory	$248	$0.14	0.1× median	Below Median
18	1891731626	$135	$0.97	0.4× median	Below Median
19	1518917350	$69	$0.50	0.2× median	Below Median
20	1346233277	$29	$0.99	0.4× median	Below Median

Showing top 20 of 26 providers billing this code

Related Procedures

80321$16.3M 80324$14.3M 80320$13.2M 80323$12.7M 80325$7.1M

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