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#4119 of 11K

80500

HCPCS Procedure Code

HCPCS code 80500 is the #4,119 most-billed Medicaid procedure code, with $832K in payments across 100K claims from 2018–2024. The national median cost per claim is $10.15.

Total Paid

$832K

0.00% of all spending

Total Claims

100K

Providers

75

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 80500? Based on 69 providers billing this code nationally.

Median

$10.15

Average

$10.57

Std Dev

$9.53

Max

$68.95

Percentile Distribution (Cost per Claim)

p10
$1.83
p25
$5.56
Median
$10.15
p75
$12.40
p90
$16.66
p95
$19.96
p99
$49.53

50% of providers bill between $5.56 and $12.40 per claim for this code.

90% bill between $1.83 and $16.66.

Top 1% bill above $49.53.

About This Procedure

HCPCS code 80500 was billed by 75 providers across 100K claims, totaling $832K in Medicaid payments from 2018–2024. This code was used for 78K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$10.15

Providers Billing

69

National Spending

$832K

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80500

#ProviderTotal Paid
11023041159$113K
21942498985$91K
31679547749$80K
41518415991$76K
5Natera Inc.

San Carlos, CA · Clinical Medical Laboratory

$67K
61174516108$51K
71477554814$42K
81962466375$40K
91558695288$37K
101508051525$36K
111285890863$28K
121679566574$25K
131699757401$16K
141801840434$15K
151104891050$14K
161851437719$11K
171053343442$9K
181649204256$8K
191548208440$6K
201699720086$6K

Showing top 20 of 75 providers billing this code