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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $3.1M |
| 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 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $1.0M |
| 5 | 1598135451 | $903K |
| 6 | 1467806646 | $892K |
| 7 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $641K |
| 8 | 1346363306 | $475K |
| 9 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $410K |
| 10 | 1215272406 | $378K |
| 11 | Ideal Option, Pllc Pasco, WA · Preventive Medicine, Addiction Medicine | $348K |
| 12 | 1194744185 | $290K |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $267K |
| 14 | 1215914288 | $231K |
| 15 | 1821092297 | $225K |
| 16 | 1982091617 | $222K |
| 17 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $214K |
| 18 | 1154720662 | $201K |
| 19 | 1700844339 | $194K |
| 20 | Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory | $179K |
Showing top 20 of 475 providers billing this code