80342
HCPCS Procedure Code
HCPCS code 80342 is the #3,433 most-billed Medicaid procedure code, with $1.7M in payments across 278K claims from 2018–2024. The national median cost per claim is $5.49. Costs vary widely — the 90th percentile is $16.27 per claim, 3.0× the median.
Total Paid
$1.7M
0.00% of all spending
Total Claims
278K
Providers
96
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for 80342? Based on 85 providers billing this code nationally.
Median
$5.49
Average
$7.31
Std Dev
$6.42
Max
$29.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.19 and $10.86 per claim for this code.
90% bill between $0.75 and $16.27.
Top 1% bill above $26.47.
About This Procedure
HCPCS code 80342 was billed by 96 providers across 278K claims, totaling $1.7M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.49
Providers Billing
85
National Spending
$1.7M
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80342
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $416K |
| 2 | 1982091617 | $180K |
| 3 | 1073961108 | $156K |
| 4 | 1043271539 | $103K |
| 5 | 1285256818 | $91K |
| 6 | 1912300302 | $90K |
| 7 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $67K |
| 8 | 1821389941 | $67K |
| 9 | 1942641774 | $66K |
| 10 | 1982013082 | $48K |
| 11 | Sunrise Treatment Center, Llc Cincinnati, OH · Clinic/Center, Adult Mental Health | $43K |
| 12 | Ethos Holding Corp Newport, KY · Clinical Medical Laboratory | $38K |
| 13 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $32K |
| 14 | Quest Diagnostics Clinical Laboratories Inc Miramar, FL · Clinical Medical Laboratory | $24K |
| 15 | 1386915700 | $23K |
| 16 | 1821092297 | $19K |
| 17 | 1871988253 | $16K |
| 18 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $16K |
| 19 | Quest Diagnostics Clinical Laboratories Inc Irving, TX · Clinical Medical Laboratory | $16K |
| 20 | 1356645295 | $14K |
Showing top 20 of 96 providers billing this code