80359
HCPCS Procedure Code
HCPCS code 80359 is the #1,688 most-billed Medicaid procedure code, with $16.0M in payments across 3.4M claims from 2018–2024. The national median cost per claim is $4.98. Costs vary widely — the 90th percentile is $14.08 per claim, 2.8× the median.
Total Paid
$16.0M
0.00% of all spending
Total Claims
3.4M
Providers
435
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 80359? Based on 369 providers billing this code nationally.
Median
$4.98
Average
$7.59
Std Dev
$10.95
Max
$114.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.18 and $9.36 per claim for this code.
90% bill between $0.61 and $14.08.
Top 1% bill above $63.17.
About This Procedure
HCPCS code 80359 was billed by 435 providers across 3.4M claims, totaling $16.0M in Medicaid payments from 2018–2024. This code was used for 2.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.98
Providers Billing
369
National Spending
$16.0M
Avg/Median Ratio
1.52×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80359
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $2.7M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.4M |
| 3 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $1.0M |
| 4 | 1598135451 | $773K |
| 5 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $611K |
| 6 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $599K |
| 7 | 1346363306 | $473K |
| 8 | 1215272406 | $376K |
| 9 | 1215914288 | $295K |
| 10 | 1194744185 | $279K |
| 11 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $262K |
| 12 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $260K |
| 13 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $243K |
| 14 | 1700844339 | $242K |
| 15 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $228K |
| 16 | 1982091617 | $214K |
| 17 | Dominion Diagnostics, Llc North Kingstown, RI · Clinical Medical Laboratory | $213K |
| 18 | 1841619731 | $210K |
| 19 | 1639778921 | $160K |
| 20 | 1154720662 | $149K |
Showing top 20 of 435 providers billing this code