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#5135 of 11K

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)

p10
$6.54
p25
$20.55
Median
$25.50
p75
$31.59
p90
$37.57
p95
$38.30
p99
$40.17

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

#ProviderTotal Paid
11487600334$56K
21659969376$53K
3Banner-university Medical Group

Phoenix, AZ · Clinic/Center, Primary Care

$47K
4Hennepin Healthcare System Inc

Minneapolis, MN · General Acute Care Hospital

$32K
51023041159$30K
6William Beaumont Hospital

Royal Oak, MI · Internal Medicine, Cardiovascular Disease

$20K
7University Of Washington

Seattle, WA · Clinical Medical Laboratory

$12K
8Utmb Faculty Group Practice

Galveston, TX · Anesthesiology

$11K
91346403854$6K
101568707248$4K
111508972860$3K
121447299797$2K
131346281938$2K
141801840434$996
151285890863$283
161659312189$281
171184257123$225
18Eastern Maine Medical Center

Bangor, ME · General Acute Care Hospital

$168

Showing top 18 of 18 providers billing this code