#1913 of 11K

80368

HCPCS Procedure Code

HCPCS code 80368 is the #1,913 most-billed Medicaid procedure code, with $11.7M in payments across 2.4M claims from 2018–2024. The national median cost per claim is $5.64. Costs vary widely — the 90th percentile is $14.13 per claim, 2.5× the median.

Total Paid

$11.7M

0.00% of all spending

Total Claims

2.4M

Providers

319

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80368? Based on 275 providers billing this code nationally.

Median

$5.64

Average

$6.54

Std Dev

$5.36

Max

$34.47

Percentile Distribution (Cost per Claim)

p10

$0.96

p25

$2.06

Median

$5.64

p75

$9.66

p90

$14.13

p95

$15.87

p99

$24.40

50% of providers bill between $2.06 and $9.66 per claim for this code.

90% bill between $0.96 and $14.13.

Top 1% bill above $24.40.

About This Procedure

HCPCS code 80368 was billed by 319 providers across 2.4M claims, totaling $11.7M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.64

Providers Billing

275

National Spending

$11.7M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80368

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$1.8M	$3.87	0.7× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$929K	$5.90	1.0× median	Above Median
3	1598135451	$875K	$15.39	2.7× median	Top 10%
4	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$857K	$8.38	1.5× median	Above Median
5	Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine	$541K	$8.34	1.5× median	Above Median
6	1215272406	$352K	$12.07	2.1× median	Above 75th
7	Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory	$314K	$4.86	0.9× median	Below Median
8	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$314K	$8.08	1.4× median	Above Median
9	Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory	$303K	$8.46	1.5× median	Above Median
10	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$256K	$7.00	1.2× median	Above Median
11	1073961108	$243K	$3.18	0.6× median	Below Median
12	1982091617	$193K	$8.83	1.6× median	Above Median
13	1568724243	$173K	$9.24	1.6× median	Above Median
14	1194744185	$166K	$2.19	0.4× median	Below Median
15	1316370950	$163K	$10.68	1.9× median	Above 75th
16	1518950732	$149K	$9.52	1.7× median	Above Median
17	1972888139	$147K	$5.62	1.0× median	Below Median
18	1982940862	$143K	$9.62	1.7× median	Above Median
19	1588805451	$113K	$10.14	1.8× median	Above 75th
20	1043271539	$105K	$12.71	2.3× median	Above 75th

Showing top 20 of 319 providers billing this code

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