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#2390 of 11K

80370

HCPCS Procedure Code

HCPCS code 80370 is the #2,390 most-billed Medicaid procedure code, with $6.2M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $5.70. Costs vary widely — the 90th percentile is $15.23 per claim, 2.7× the median.

Total Paid

$6.2M

0.00% of all spending

Total Claims

1.2M

Providers

209

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 80370? Based on 184 providers billing this code nationally.

Median

$5.70

Average

$7.34

Std Dev

$7.14

Max

$38.73

Percentile Distribution (Cost per Claim)

p10
$0.50
p25
$2.09
Median
$5.70
p75
$10.34
p90
$15.23
p95
$16.63
p99
$37.88

50% of providers bill between $2.09 and $10.34 per claim for this code.

90% bill between $0.50 and $15.23.

Top 1% bill above $37.88.

About This Procedure

HCPCS code 80370 was billed by 209 providers across 1.2M claims, totaling $6.2M in Medicaid payments from 2018–2024. This code was used for 897K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.70

Providers Billing

184

National Spending

$6.2M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80370

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$971K
21598135451$875K
31346363306$411K
4Acutis Diagnostics Inc

Hicksville, NY · Clinical Medical Laboratory

$358K
51568724243$241K
61194744185$236K
7Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$226K
81982091617$174K
9Sherman Abrams Laboratory Inc

Brooklyn, NY · Clinical Medical Laboratory

$169K
101639778921$160K
111215914288$127K
121154720662$120K
131588805451$99K
141942641774$75K
151154624799$63K
161487639381$61K
171508895640$60K
181982940862$59K
191790370583$56K
201477004810$52K

Showing top 20 of 209 providers billing this code