#4886 of 11K

80340

HCPCS Procedure Code

HCPCS code 80340 is the #4,886 most-billed Medicaid procedure code, with $362K in payments across 86K claims from 2018–2024. The national median cost per claim is $2.17. Costs vary widely — the 90th percentile is $11.85 per claim, 5.5× the median.

Total Paid

$362K

0.00% of all spending

Total Claims

86K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80340? Based on 21 providers billing this code nationally.

Median

$2.17

Average

$4.62

Std Dev

$4.56

Max

$13.89

Percentile Distribution (Cost per Claim)

p10

$0.77

p25

$1.11

Median

$2.17

p75

$7.57

p90

$11.85

p95

$13.31

p99

$13.78

50% of providers bill between $1.11 and $7.57 per claim for this code.

90% bill between $0.77 and $11.85.

Top 1% bill above $13.78.

About This Procedure

HCPCS code 80340 was billed by 27 providers across 86K claims, totaling $362K in Medicaid payments from 2018–2024. This code was used for 63K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2.17

Providers Billing

National Spending

$362K

Avg/Median Ratio

2.13×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for 80340

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$247K	$13.31	6.1× median	Top 10%
2	1073961108	$54K	$1.50	0.7× median	Below Median
3	Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory	$14K	$7.57	3.5× median	Above Median
4	Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory	$8K	$3.05	1.4× median	Above Median
5	1336361575	$6K	$1.63	0.8× median	Below Median
6	1871960195	$6K	$9.03	4.2× median	Above 75th
7	1972888139	$6K	$0.77	0.4× median	Below Median
8	1447296272	$5K	$6.80	3.1× median	Above Median
9	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$5K	$2.17	1.0× median	Below Median
10	Quest Diagnostics Clinical Laboratories Inc Tucker, GA · Clinical Medical Laboratory	$4K	$3.71	1.7× median	Above Median
11	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$4K	$1.26	0.6× median	Below Median
12	1497175905	$2K	$13.89	6.4× median	Top 1%
13	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$474	$11.85	5.5× median	Top 10%
14	Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory	$323	$0.19	0.1× median	Below Median
15	Labone Llc Lenexa, KS · Clinical Medical Laboratory	$267	$9.90	4.6× median	Above 75th
16	1366468027	$244	$0.32	0.1× median	Below Median
17	1518917350	$150	$1.11	0.5× median	Below Median
18	1730599416	$96	$5.31	2.4× median	Above Median
19	1891731626	$83	$1.93	0.9× median	Below Median
20	1346233277	$25	$0.83	0.4× median	Below Median

Showing top 20 of 27 providers billing this code

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