80366
HCPCS Procedure Code
HCPCS code 80366 is the #1,800 most-billed Medicaid procedure code, with $13.6M in payments across 2.6M claims from 2018–2024. The national median cost per claim is $5.67. Costs vary widely — the 90th percentile is $13.90 per claim, 2.5× the median.
Total Paid
$13.6M
0.00% of all spending
Total Claims
2.6M
Providers
338
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for 80366? Based on 294 providers billing this code nationally.
Median
$5.67
Average
$6.57
Std Dev
$5.44
Max
$35.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.31 and $9.79 per claim for this code.
90% bill between $0.83 and $13.90.
Top 1% bill above $22.00.
About This Procedure
HCPCS code 80366 was billed by 338 providers across 2.6M claims, totaling $13.6M in Medicaid payments from 2018–2024. This code was used for 1.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$5.67
Providers Billing
294
National Spending
$13.6M
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80366
| # | Provider | Total Paid |
|---|---|---|
| 1 | Millennium Health Llc San Diego, CA · Clinical Medical Laboratory | $1.7M |
| 2 | Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory | $1.0M |
| 3 | Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine | $1.0M |
| 4 | 1598135451 | $872K |
| 5 | Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory | $667K |
| 6 | Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory | $648K |
| 7 | Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory | $594K |
| 8 | 1346363306 | $486K |
| 9 | 1215272406 | $347K |
| 10 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $327K |
| 11 | Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory | $249K |
| 12 | 1073961108 | $203K |
| 13 | 1982091617 | $178K |
| 14 | 1194744185 | $167K |
| 15 | 1316370950 | $163K |
| 16 | 1639778921 | $160K |
| 17 | 1841619731 | $158K |
| 18 | 1568724243 | $152K |
| 19 | 1518950732 | $151K |
| 20 | Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory | $138K |
Showing top 20 of 338 providers billing this code