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#1532 of 11K

80358

HCPCS Procedure Code

HCPCS code 80358 is the #1,532 most-billed Medicaid procedure code, with $20.0M in payments across 4.1M claims from 2018–2024. The national median cost per claim is $5.06. Costs vary widely — the 90th percentile is $14.87 per claim, 2.9× the median.

Total Paid

$20.0M

0.00% of all spending

Total Claims

4.1M

Providers

475

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 80358? Based on 402 providers billing this code nationally.

Median

$5.06

Average

$6.66

Std Dev

$5.95

Max

$37.82

Percentile Distribution (Cost per Claim)

p10
$0.71
p25
$2.25
Median
$5.06
p75
$9.56
p90
$14.87
p95
$17.35
p99
$27.76

50% of providers bill between $2.25 and $9.56 per claim for this code.

90% bill between $0.71 and $14.87.

Top 1% bill above $27.76.

About This Procedure

HCPCS code 80358 was billed by 475 providers across 4.1M claims, totaling $20.0M in Medicaid payments from 2018–2024. This code was used for 2.8M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.06

Providers Billing

402

National Spending

$20.0M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80358

#ProviderTotal Paid
1Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$3.1M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.5M
3Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$1.4M
4Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$1.0M
51598135451$903K
61467806646$892K
7Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$641K
81346363306$475K
9Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$410K
101215272406$378K
11Ideal Option, Pllc

Pasco, WA · Preventive Medicine, Addiction Medicine

$348K
121194744185$290K
13Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$267K
141215914288$231K
151821092297$225K
161982091617$222K
17Acutis Diagnostics Inc

Hicksville, NY · Clinical Medical Laboratory

$214K
181154720662$201K
191700844339$194K
20Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$179K

Showing top 20 of 475 providers billing this code