80360
HCPCS Procedure Code
HCPCS code 80360 is the #1,779 most-billed Medicaid procedure code, with $14.1M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $5.43. Costs vary widely — the 90th percentile is $13.03 per claim, 2.4× the median.
Total Paid
$14.1M
0.00% of all spending
Total Claims
2.8M
Providers
333
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 80360? Based on 287 providers billing this code nationally.
Median
$5.43
Average
$6.26
Std Dev
$5.56
Max
$46.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.09 and $9.08 per claim for this code.
90% bill between $0.60 and $13.03.
Top 1% bill above $18.12.
About This Procedure
HCPCS code 80360 was billed by 333 providers across 2.8M claims, totaling $14.1M in Medicaid payments from 2018–2024. This code was used for 1.9M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.43
Providers Billing
287
National Spending
$14.1M
Avg/Median Ratio
1.15×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80360
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $2.1M |
| 2 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $1.2M |
| 3 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $1.0M |
| 4 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $902K |
| 5 | 1598135451 | $772K |
| 6 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $749K |
| 7 | 1346363306 | $473K |
| 8 | 1215272406 | $377K |
| 9 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $304K |
| 10 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $291K |
| 11 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $265K |
| 12 | 1073961108 | $245K |
| 13 | 1982091617 | $210K |
| 14 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $210K |
| 15 | 1841619731 | $205K |
| 16 | 1568724243 | $177K |
| 17 | 1194744185 | $174K |
| 18 | 1639778921 | $160K |
| 19 | 1154720662 | $145K |
| 20 | 1316370950 | $141K |
Showing top 20 of 333 providers billing this code