80504
HCPCS Procedure Code
HCPCS code 80504 is the #5,135 most-billed Medicaid procedure code, with $279K in payments across 11K claims from 2018–2024. The national median cost per claim is $25.50.
Total Paid
$279K
0.00% of all spending
Total Claims
11K
Providers
18
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for 80504? Based on 18 providers billing this code nationally.
Median
$25.50
Average
$24.02
Std Dev
$11.83
Max
$40.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $20.55 and $31.59 per claim for this code.
90% bill between $6.54 and $37.57.
Top 1% bill above $40.17.
About This Procedure
HCPCS code 80504 was billed by 18 providers across 11K claims, totaling $279K in Medicaid payments from 2018–2024. This code was used for 9,548 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$25.50
Providers Billing
18
National Spending
$279K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80504
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1487600334 | $56K |
| 2 | 1659969376 | $53K |
| 3 | Banner-university Medical Group Phoenix, AZ · Clinic/Center, Primary Care | $47K |
| 4 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $32K |
| 5 | 1023041159 | $30K |
| 6 | William Beaumont Hospital Royal Oak, MI · Internal Medicine, Cardiovascular Disease | $20K |
| 7 | University Of Washington Seattle, WA · Clinical Medical Laboratory | $12K |
| 8 | Utmb Faculty Group Practice Galveston, TX · Anesthesiology | $11K |
| 9 | 1346403854 | $6K |
| 10 | 1568707248 | $4K |
| 11 | 1508972860 | $3K |
| 12 | 1447299797 | $2K |
| 13 | 1346281938 | $2K |
| 14 | 1801840434 | $996 |
| 15 | 1285890863 | $283 |
| 16 | 1659312189 | $281 |
| 17 | 1184257123 | $225 |
| 18 | Eastern Maine Medical Center Bangor, ME · General Acute Care Hospital | $168 |
Showing top 18 of 18 providers billing this code