#4753 of 11K

80376

HCPCS Procedure Code

HCPCS code 80376 is the #4,753 most-billed Medicaid procedure code, with $419K in payments across 61K claims from 2018–2024. The national median cost per claim is $5.05. Costs vary widely — the 90th percentile is $12.25 per claim, 2.4× the median.

Total Paid

$419K

0.00% of all spending

Total Claims

61K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80376? Based on 20 providers billing this code nationally.

Median

$5.05

Average

$6.35

Std Dev

$5.32

Max

$19.27

Percentile Distribution (Cost per Claim)

p10

$0.30

p25

$1.70

Median

$5.05

p75

$9.39

p90

$12.25

p95

$16.36

p99

$18.69

50% of providers bill between $1.70 and $9.39 per claim for this code.

90% bill between $0.30 and $12.25.

Top 1% bill above $18.69.

About This Procedure

HCPCS code 80376 was billed by 26 providers across 61K claims, totaling $419K in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.05

Providers Billing

National Spending

$419K

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80376

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1972888139	$154K	$7.16	1.4× median	Above Median
2	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$69K	$10.24	2.0× median	Above 75th
3	1598135451	$65K	$16.20	3.2× median	Top 10%
4	1386114965	$62K	$9.60	1.9× median	Above 75th
5	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$25K	$4.88	1.0× median	Below Median
6	1073985727	$16K	$3.71	0.7× median	Below Median
7	1710943881	$9K	$19.27	3.8× median	Top 1%
8	1285018523	$5K	$1.71	0.3× median	Below Median
9	1982091617	$4K	$1.39	0.3× median	Below Median
10	1306055652	$2K	$8.96	1.8× median	Above Median
11	1053841023	$2K	$9.32	1.8× median	Above Median
12	1336593888	$2K	$6.79	1.3× median	Above Median
13	1497173348	$2K	$5.21	1.0× median	Above Median
14	1427120336	$1K	$4.28	0.8× median	Below Median
15	1003221904	$921	$11.81	2.3× median	Above 75th
16	1487639381	$703	$4.26	0.8× median	Below Median
17	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$575	$1.64	0.3× median	Below Median
18	1598210353	$38	$0.32	0.1× median	Below Median
19	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$22	$0.04	0.0× median	Below Median
20	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$16	$0.10	0.0× median	Below Median

Showing top 20 of 26 providers billing this code

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80373$21.4M 80372$15.1M 80366$13.6M 80368$11.7M 80369$9.4M

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