80305
HCPCS Procedure Code
HCPCS code 80305 is the #626 most-billed Medicaid procedure code, with $122.3M in payments across 15.8M claims from 2018–2024. The national median cost per claim is $7.44.
Total Paid
$122.3M
0.01% of all spending
Total Claims
15.8M
Providers
8K
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for 80305? Based on 7K providers billing this code nationally.
Median
$7.44
Average
$8.49
Std Dev
$19.56
Max
$779.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $4.25 and $10.02 per claim for this code.
90% bill between $1.27 and $11.82.
Top 1% bill above $44.73.
About This Procedure
HCPCS code 80305 was billed by 8K providers across 15.8M claims, totaling $122.3M in Medicaid payments from 2018–2024. This code was used for 10.5M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.44
Providers Billing
7K
National Spending
$122.3M
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 80305
| # | Provider | Total Paid |
|---|---|---|
| 1 | Recover Together Inc. Greenfield, IN · Clinic/Center Adult Mental Health | $5.1M |
| 2 | Ars Treatment Centers, P.c. Uniontown, PA · Anesthesiology | $2.6M |
| 3 | 1598135451 | $1.4M |
| 4 | 1306280177 | $1.4M |
| 5 | 1558607481 | $1.2M |
| 6 | 1790297216 | $1.1M |
| 7 | Community Bridges Inc. Mesa, AZ · Community/Behavioral Health | $1.0M |
| 8 | 1811035520 | $947K |
| 9 | 1265892012 | $878K |
| 10 | 1740211028 | $875K |
| 11 | 1922440684 | $862K |
| 12 | 1295450294 | $823K |
| 13 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $760K |
| 14 | 1902980865 | $741K |
| 15 | 1356854277 | $721K |
| 16 | 1750872966 | $685K |
| 17 | 1831270842 | $631K |
| 18 | 1922464437 | $620K |
| 19 | 1477091247 | $618K |
| 20 | 1194254219 | $560K |
Showing top 20 of 8K providers billing this code