80505
HCPCS Procedure Code
HCPCS code 80505 is the #7,754 most-billed Medicaid procedure code, with $11K in payments across 4,021 claims from 2018–2024. The national median cost per claim is $10.81. Costs vary widely — the 90th percentile is $43.44 per claim, 4.0× the median.
Total Paid
$11K
0.00% of all spending
Total Claims
4,021
Providers
6
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 80505? Based on 5 providers billing this code nationally.
Median
$10.81
Average
$18.66
Std Dev
$23.05
Max
$56.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.88 and $24.41 per claim for this code.
90% bill between $0.80 and $43.44.
Top 1% bill above $54.86.
About This Procedure
HCPCS code 80505 was billed by 6 providers across 4,021 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 2,979 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$10.81
Providers Billing
5
National Spending
$11K
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for 80505
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184257123 | $5K |
| 2 | 1568707248 | $4K |
| 3 | 1417391533 | $2K |
| 4 | 1346281938 | $342 |
| 5 | 1073188801 | $110 |
| 6 | 1689633711 | $0 |
Showing top 6 of 6 providers billing this code