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#2111 of 11K

80371

HCPCS Procedure Code

HCPCS code 80371 is the #2,111 most-billed Medicaid procedure code, with $8.8M in payments across 1.9M claims from 2018–2024. The national median cost per claim is $4.34. Costs vary widely — the 90th percentile is $12.96 per claim, 3.0× the median.

Total Paid

$8.8M

0.00% of all spending

Total Claims

1.9M

Providers

215

Avg Cost/Claim

$5

National Cost Distribution

How much do providers bill per claim for 80371? Based on 184 providers billing this code nationally.

Median

$4.34

Average

$5.72

Std Dev

$5.06

Max

$26.67

Percentile Distribution (Cost per Claim)

p10
$0.44
p25
$1.17
Median
$4.34
p75
$8.88
p90
$12.96
p95
$15.59
p99
$17.63

50% of providers bill between $1.17 and $8.88 per claim for this code.

90% bill between $0.44 and $12.96.

Top 1% bill above $17.63.

About This Procedure

HCPCS code 80371 was billed by 215 providers across 1.9M claims, totaling $8.8M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.34

Providers Billing

184

National Spending

$8.8M

Avg/Median Ratio

1.32×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80371

#ProviderTotal Paid
1Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$1.7M
2Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$806K
3Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$651K
4Brightview Llc

Cincinnati, OH · Internal Medicine Addiction Medicine

$578K
51215272406$361K
6Acutis Diagnostics Inc

Hicksville, NY · Clinical Medical Laboratory

$336K
71841619731$280K
8Dominion Diagnostics, Llc

North Kingstown, RI · Clinical Medical Laboratory

$279K
9Accu Reference Medical Lab, Llc

Linden, NJ · Clinical Medical Laboratory

$277K
101073961108$255K
111598135451$241K
12Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$224K
131982091617$206K
14Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$173K
151316370950$140K
161194744185$135K
171215914288$116K
18Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$110K
191952790206$101K
201285256818$91K

Showing top 20 of 215 providers billing this code