80320
HCPCS Procedure Code
HCPCS code 80320 is the #1,825 most-billed Medicaid procedure code, with $13.2M in payments across 2.0M claims from 2018–2024. The national median cost per claim is $4.02. Costs vary widely — the 90th percentile is $22.75 per claim, 5.7× the median.
Total Paid
$13.2M
0.00% of all spending
Total Claims
2.0M
Providers
1K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for 80320? Based on 1K providers billing this code nationally.
Median
$4.02
Average
$11.03
Std Dev
$21.78
Max
$233.97
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.71 and $12.28 per claim for this code.
90% bill between $0.11 and $22.75.
Top 1% bill above $104.51.
About This Procedure
HCPCS code 80320 was billed by 1K providers across 2.0M claims, totaling $13.2M in Medicaid payments from 2018–2024. This code was used for 1.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$4.02
Providers Billing
1K
National Spending
$13.2M
Avg/Median Ratio
2.74×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for 80320
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689682999 | $815K |
| 2 | 1669461281 | $390K |
| 3 | 1225195340 | $344K |
| 4 | 1821042979 | $341K |
| 5 | 1659327013 | $304K |
| 6 | Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory | $286K |
| 7 | 1932112125 | $269K |
| 8 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $263K |
| 9 | 1720004450 | $250K |
| 10 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $231K |
| 11 | 1689624686 | $195K |
| 12 | 1710951801 | $183K |
| 13 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $172K |
| 14 | 1326296211 | $138K |
| 15 | 1467806646 | $131K |
| 16 | 1598144362 | $131K |
| 17 | Saint Peter's University Hospital New Brunswick, NJ · General Acute Care Hospital | $130K |
| 18 | Integrated Regional Laboratories Pathology Services Llc Atlantis, FL · Pathology Anatomic Pathology & Clinical Pathology | $126K |
| 19 | 1205860335 | $123K |
| 20 | Banner Thunderbird Medical Center Glendale, AZ · Community/Behavioral Health | $114K |
Showing top 20 of 1K providers billing this code