Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1853 of 11K

80362

HCPCS Procedure Code

HCPCS code 80362 is the #1,853 most-billed Medicaid procedure code, with $12.7M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $5.83. Costs vary widely — the 90th percentile is $16.12 per claim, 2.8× the median.

Total Paid

$12.7M

0.00% of all spending

Total Claims

2.0M

Providers

276

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 80362? Based on 240 providers billing this code nationally.

Median

$5.83

Average

$9.04

Std Dev

$20.34

Max

$286.28

Percentile Distribution (Cost per Claim)

p10
$0.52
p25
$2.04
Median
$5.83
p75
$11.38
p90
$16.12
p95
$18.53
p99
$44.65

50% of providers bill between $2.04 and $11.38 per claim for this code.

90% bill between $0.52 and $16.12.

Top 1% bill above $44.65.

About This Procedure

HCPCS code 80362 was billed by 276 providers across 2.0M claims, totaling $12.7M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.83

Providers Billing

240

National Spending

$12.7M

Avg/Median Ratio

1.55×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for 80362

#ProviderTotal Paid
1Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$2.0M
2Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$1.4M
3Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$983K
4Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$918K
5Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$850K
6Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$505K
71184170136$382K
8Ideal Option, Pllc

Pasco, WA · Preventive Medicine, Addiction Medicine

$380K
9Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$330K
10Dominion Diagnostics, Llc

North Kingstown, RI · Clinical Medical Laboratory

$296K
11Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$293K
12Sunrise Treatment Center, Llc

Cincinnati, OH · Clinic/Center, Adult Mental Health

$269K
13Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$269K
14Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$192K
151144527003$178K
161215914288$176K
171639778921$160K
181023550183$127K
191326386939$126K
201649418351$118K

Showing top 20 of 276 providers billing this code