#2327 of 11K

80299

HCPCS Procedure Code

HCPCS code 80299 is the #2,327 most-billed Medicaid procedure code, with $6.7M in payments across 488K claims from 2018–2024. The national median cost per claim is $9.91. Costs vary widely — the 90th percentile is $22.68 per claim, 2.3× the median.

Total Paid

$6.7M

0.00% of all spending

Total Claims

488K

Providers

300

Avg Cost/Claim

$14

National Cost Distribution

How much do providers bill per claim for 80299? Based on 279 providers billing this code nationally.

Median

$9.91

Average

$14.15

Std Dev

$19.38

Max

$158.83

Percentile Distribution (Cost per Claim)

p10

$1.16

p25

$4.69

Median

$9.91

p75

$16.21

p90

$22.68

p95

$37.34

p99

$100.57

50% of providers bill between $4.69 and $16.21 per claim for this code.

90% bill between $1.16 and $22.68.

Top 1% bill above $100.57.

About This Procedure

HCPCS code 80299 was billed by 300 providers across 488K claims, totaling $6.7M in Medicaid payments from 2018–2024. This code was used for 346K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.91

Providers Billing

279

National Spending

$6.7M

Avg/Median Ratio

1.43×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80299

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1093136418	$2.9M	$20.00	2.0× median	Above 75th
2	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$480K	$12.97	1.3× median	Above Median
3	1023269313	$191K	$91.86	9.3× median	Top 10%
4	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$183K	$11.18	1.1× median	Above Median
5	1568724243	$181K	$11.02	1.1× median	Above Median
6	1851392617	$167K	$80.88	8.2× median	Top 10%
7	Laboratory Corporation Of America Holdings Raritan, NJ · Clinical Medical Laboratory	$154K	$12.09	1.2× median	Above Median
8	Empire City Laboratories, Inc Brooklyn, NY · Clinical Medical Laboratory	$104K	$17.79	1.8× median	Above 75th
9	1124277702	$103K	$37.01	3.7× median	Top 10%
10	1629144050	$102K	$9.05	0.9× median	Below Median
11	1912300302	$85K	$5.59	0.6× median	Below Median
12	1467852350	$74K	$24.98	2.5× median	Top 10%
13	1447200233	$71K	$14.34	1.4× median	Above Median
14	1255494233	$69K	$15.87	1.6× median	Above Median
15	1942298153	$65K	$21.48	2.2× median	Above 75th
16	1366503864	$62K	$16.67	1.7× median	Above 75th
17	Laboratory Corporation Of America San Diego, CA · Clinical Medical Laboratory	$61K	$8.80	0.9× median	Below Median
18	Unilab Corporation West Hills, CA · Clinical Medical Laboratory	$57K	$6.59	0.7× median	Below Median
19	1154674042	$57K	$16.72	1.7× median	Above 75th
20	1609869916	$57K	$104.15	10.5× median	Top 1%

Showing top 20 of 300 providers billing this code

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