80354
HCPCS Procedure Code
HCPCS code 80354 is the #1,440 most-billed Medicaid procedure code, with $23.2M in payments across 4.5M claims from 2018–2024. The national median cost per claim is $5.61. Costs vary widely — the 90th percentile is $15.67 per claim, 2.8× the median.
Total Paid
$23.2M
0.00% of all spending
Total Claims
4.5M
Providers
545
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 80354? Based on 442 providers billing this code nationally.
Median
$5.61
Average
$7.13
Std Dev
$6.83
Max
$42.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.98 and $10.00 per claim for this code.
90% bill between $0.50 and $15.67.
Top 1% bill above $32.86.
About This Procedure
HCPCS code 80354 was billed by 545 providers across 4.5M claims, totaling $23.2M in Medicaid payments from 2018–2024. This code was used for 3.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.61
Providers Billing
442
National Spending
$23.2M
Avg/Median Ratio
1.27×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80354
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $3.4M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.5M |
| 3 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $1.4M |
| 4 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $1.1M |
| 5 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $1.0M |
| 6 | 1598135451 | $903K |
| 7 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $676K |
| 8 | 1841619731 | $513K |
| 9 | Ideal Option, Pllc Pasco, WA · Preventive Medicine, Addiction Medicine | $482K |
| 10 | 1346363306 | $476K |
| 11 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $448K |
| 12 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $390K |
| 13 | 1215272406 | $378K |
| 14 | Dominion Diagnostics, Llc North Kingstown, RI · Clinical Medical Laboratory | $376K |
| 15 | 1215914288 | $327K |
| 16 | 1073961108 | $283K |
| 17 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $275K |
| 18 | 1144527003 | $234K |
| 19 | 1326386939 | $232K |
| 20 | 1982091617 | $225K |
Showing top 20 of 545 providers billing this code