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#4354 of 11K

80503

HCPCS Procedure Code

HCPCS code 80503 is the #4,354 most-billed Medicaid procedure code, with $640K in payments across 79K claims from 2018–2024. The national median cost per claim is $12.01.

Total Paid

$640K

0.00% of all spending

Total Claims

79K

Providers

75

Avg Cost/Claim

$8

National Cost Distribution

How much do providers bill per claim for 80503? Based on 73 providers billing this code nationally.

Median

$12.01

Average

$12.82

Std Dev

$11.08

Max

$84.11

Percentile Distribution (Cost per Claim)

p10
$3.47
p25
$6.33
Median
$12.01
p75
$15.36
p90
$20.38
p95
$29.25
p99
$49.41

50% of providers bill between $6.33 and $15.36 per claim for this code.

90% bill between $3.47 and $20.38.

Top 1% bill above $49.41.

About This Procedure

HCPCS code 80503 was billed by 75 providers across 79K claims, totaling $640K in Medicaid payments from 2018–2024. This code was used for 60K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.01

Providers Billing

73

National Spending

$640K

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80503

#ProviderTotal Paid
11679547749$87K
21750314076$57K
3William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$50K
41538821327$43K
51023041159$41K
61780800128$32K
71285890863$31K
81679566574$31K
91477554814$30K
101942498985$20K
111912954025$15K
121962466375$15K
13Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$14K
14University Of Washington

Seattle, WA · Clinical Medical Laboratory

$14K
151447296272$13K
161700873833$13K
171851437719$12K
181548208440$12K
191558695288$11K
201427369578$11K

Showing top 20 of 75 providers billing this code