99080
HCPCS Procedure Code
HCPCS code 99080 is the #3,307 most-billed Medicaid procedure code, with $2.0M in payments across 1.5M claims from 2018–2024. The national median cost per claim is $6.15. Costs vary widely — the 90th percentile is $58.44 per claim, 9.5× the median.
Total Paid
$2.0M
0.00% of all spending
Total Claims
1.5M
Providers
1K
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for 99080? Based on 168 providers billing this code nationally.
Median
$6.15
Average
$22.14
Std Dev
$40.09
Max
$200.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.69 and $25.00 per claim for this code.
90% bill between $0.01 and $58.44.
Top 1% bill above $200.00.
About This Procedure
HCPCS code 99080 was billed by 1K providers across 1.5M claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 664K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.15
Providers Billing
168
National Spending
$2.0M
Avg/Median Ratio
3.60×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 99080
| # | Provider | Total Paid |
|---|---|---|
| 1 | Prisma Health University Medical Group Greenville, SC · Internal Medicine | $511K |
| 2 | 1588730360 | $191K |
| 3 | 1447229281 | $133K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $104K |
| 5 | Valley Behavioral Health Incorporated Salt Lake City, UT · Psychiatry & Neurology Psychiatry | $103K |
| 6 | 1568576056 | $81K |
| 7 | 1750624680 | $59K |
| 8 | 1538402458 | $44K |
| 9 | 1861568594 | $42K |
| 10 | 1720321656 | $41K |
| 11 | 1477590263 | $40K |
| 12 | 1205179132 | $34K |
| 13 | 1306800909 | $34K |
| 14 | 1649225632 | $33K |
| 15 | 1407199326 | $29K |
| 16 | 1174579114 | $24K |
| 17 | 1205205630 | $23K |
| 18 | 1831107440 | $22K |
| 19 | 1083669055 | $20K |
| 20 | 1497805618 | $20K |
Showing top 20 of 1K providers billing this code