#2399 of 11K

80338

HCPCS Procedure Code

HCPCS code 80338 is the #2,399 most-billed Medicaid procedure code, with $6.1M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $5.41. Costs vary widely — the 90th percentile is $15.46 per claim, 2.9× the median.

Total Paid

$6.1M

0.00% of all spending

Total Claims

1.4M

Providers

189

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80338? Based on 164 providers billing this code nationally.

Median

$5.41

Average

$6.67

Std Dev

$5.45

Max

$22.32

Percentile Distribution (Cost per Claim)

p10

$0.78

p25

$1.99

Median

$5.41

p75

$10.23

p90

$15.46

p95

$17.27

p99

$19.33

50% of providers bill between $1.99 and $10.23 per claim for this code.

90% bill between $0.78 and $15.46.

Top 1% bill above $19.33.

About This Procedure

HCPCS code 80338 was billed by 189 providers across 1.4M claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$5.41

Providers Billing

164

National Spending

$6.1M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80338

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$808K	$5.66	1.0× median	Above Median
2	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$663K	$3.63	0.7× median	Below Median
3	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$470K	$8.68	1.6× median	Above Median
4	Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory	$261K	$4.60	0.8× median	Below Median
5	1073961108	$256K	$3.33	0.6× median	Below Median
6	1194744185	$252K	$3.51	0.6× median	Below Median
7	1982091617	$221K	$9.42	1.7× median	Above Median
8	Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory	$214K	$7.46	1.4× median	Above Median
9	1700844339	$182K	$6.51	1.2× median	Above Median
10	1841619731	$182K	$5.66	1.0× median	Above Median
11	1215914288	$166K	$4.31	0.8× median	Below Median
12	1518950732	$147K	$9.54	1.8× median	Above Median
13	1316370950	$130K	$11.56	2.1× median	Above 75th
14	1972888139	$113K	$3.46	0.6× median	Below Median
15	1568724243	$112K	$18.98	3.5× median	Top 10%
16	1982940862	$92K	$12.02	2.2× median	Above 75th
17	1326386939	$91K	$13.21	2.4× median	Above 75th
18	1285256818	$91K	$15.82	2.9× median	Top 10%
19	1942641774	$70K	$13.13	2.4× median	Above 75th
20	1144527003	$67K	$2.72	0.5× median	Below Median

Showing top 20 of 189 providers billing this code

Related Procedures

80348$30.7M 80346$25.6M 80345Drug assay for barbiturates$10.5M 80347$5.3M 80337$4.6M

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