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#3912 of 11K

80374

HCPCS Procedure Code

HCPCS code 80374 is the #3,912 most-billed Medicaid procedure code, with $1.0M in payments across 175K claims from 2018–2024. The national median cost per claim is $4.53. Costs vary widely — the 90th percentile is $10.78 per claim, 2.4× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

175K

Providers

51

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for 80374? Based on 41 providers billing this code nationally.

Median

$4.53

Average

$5.45

Std Dev

$4.30

Max

$16.37

Percentile Distribution (Cost per Claim)

p10
$0.43
p25
$1.90
Median
$4.53
p75
$8.40
p90
$10.78
p95
$11.96
p99
$16.14

50% of providers bill between $1.90 and $8.40 per claim for this code.

90% bill between $0.43 and $10.78.

Top 1% bill above $16.14.

About This Procedure

HCPCS code 80374 was billed by 51 providers across 175K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.53

Providers Billing

41

National Spending

$1.0M

Avg/Median Ratio

1.20×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80374

#ProviderTotal Paid
1Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$182K
2Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$107K
3Labone Of Ohio Inc

Cincinnati, OH · Clinical Medical Laboratory

$104K
41043271539$91K
5Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$90K
61518950732$86K
7Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$54K
8Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$54K
9Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$48K
101629144050$41K
111821092297$38K
12Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$27K
13Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$26K
14Quest Diagnostics Of Pennsylvania, Inc.

Pittsburgh, PA · Clinical Medical Laboratory

$23K
151215914288$15K
16Labone Llc

Lenexa, KS · Clinical Medical Laboratory

$12K
17Laboratory Corporation Of America Holdings

Charleston, WV · Clinical Medical Laboratory

$6K
181245561349$3K
191649418351$2K
201982091617$2K

Showing top 20 of 51 providers billing this code