#2458 of 11K

80367

HCPCS Procedure Code

HCPCS code 80367 is the #2,458 most-billed Medicaid procedure code, with $5.7M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $4.37. Costs vary widely — the 90th percentile is $11.51 per claim, 2.6× the median.

Total Paid

$5.7M

0.00% of all spending

Total Claims

1.2M

Providers

223

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80367? Based on 196 providers billing this code nationally.

Median

$4.37

Average

$5.77

Std Dev

$5.69

Max

$38.14

Percentile Distribution (Cost per Claim)

p10

$0.40

p25

$1.61

Median

$4.37

p75

$8.92

p90

$11.51

p95

$15.42

p99

$29.67

50% of providers bill between $1.61 and $8.92 per claim for this code.

90% bill between $0.40 and $11.51.

Top 1% bill above $29.67.

About This Procedure

HCPCS code 80367 was billed by 223 providers across 1.2M claims, totaling $5.7M in Medicaid payments from 2018–2024. This code was used for 930K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.37

Providers Billing

196

National Spending

$5.7M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80367

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$828K	$5.79	1.3× median	Above Median
2	Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine	$544K	$8.34	1.9× median	Above Median
3	Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory	$498K	$7.91	1.8× median	Above Median
4	1215272406	$364K	$12.99	3.0× median	Top 10%
5	1841619731	$255K	$7.27	1.7× median	Above Median
6	1598135451	$240K	$15.59	3.6× median	Top 10%
7	1982091617	$196K	$9.51	2.2× median	Above 75th
8	1316370950	$169K	$11.02	2.5× median	Above 75th
9	1518950732	$156K	$9.84	2.3× median	Above 75th
10	1972888139	$150K	$6.79	1.6× median	Above Median
11	1982940862	$123K	$10.98	2.5× median	Above 75th
12	1073961108	$122K	$1.40	0.3× median	Below Median
13	1215914288	$120K	$3.04	0.7× median	Below Median
14	1588805451	$113K	$10.14	2.3× median	Above 75th
15	1154720662	$106K	$9.44	2.2× median	Above 75th
16	Sherman Abrams Laboratory Inc Brooklyn, NY · Clinical Medical Laboratory	$97K	$4.36	1.0× median	Below Median
17	1114462215	$81K	$10.58	2.4× median	Above 75th
18	1942641774	$72K	$13.58	3.1× median	Top 10%
19	1508275082	$66K	$2.19	0.5× median	Below Median
20	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$64K	$4.41	1.0× median	Above Median

Showing top 20 of 223 providers billing this code

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80361$27.2M 80373$21.4M 80365$21.2M 80358$20.0M 80359$16.0M

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