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#3131 of 11K

80350

HCPCS Procedure Code

HCPCS code 80350 is the #3,131 most-billed Medicaid procedure code, with $2.4M in payments across 430K claims from 2018–2024. The national median cost per claim is $7.18. Costs vary widely — the 90th percentile is $14.54 per claim, 2.0× the median.

Total Paid

$2.4M

0.00% of all spending

Total Claims

430K

Providers

94

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 80350? Based on 85 providers billing this code nationally.

Median

$7.18

Average

$7.16

Std Dev

$5.96

Max

$32.92

Percentile Distribution (Cost per Claim)

p10
$0.54
p25
$2.29
Median
$7.18
p75
$10.33
p90
$14.54
p95
$16.33
p99
$23.16

50% of providers bill between $2.29 and $10.33 per claim for this code.

90% bill between $0.54 and $14.54.

Top 1% bill above $23.16.

About This Procedure

HCPCS code 80350 was billed by 94 providers across 430K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 252K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$7.18

Providers Billing

85

National Spending

$2.4M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80350

#ProviderTotal Paid
1Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$532K
21215272406$309K
31194744185$273K
41316370950$130K
51952790206$100K
61114462215$82K
71982940862$71K
81386003598$60K
91487920146$58K
101376095711$57K
111073961108$52K
121942641774$50K
131174517353$49K
141982013082$48K
151952777831$47K
161265854855$42K
171285256818$38K
181801992961$36K
191508275082$34K
201902287279$34K

Showing top 20 of 94 providers billing this code