#2504 of 11K

80347

HCPCS Procedure Code

HCPCS code 80347 is the #2,504 most-billed Medicaid procedure code, with $5.3M in payments across 946K claims from 2018–2024. The national median cost per claim is $6.85. Costs vary widely — the 90th percentile is $19.17 per claim, 2.8× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

946K

Providers

121

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80347? Based on 106 providers billing this code nationally.

Median

$6.85

Average

$9.21

Std Dev

$8.71

Max

$61.75

Percentile Distribution (Cost per Claim)

p10

$0.92

p25

$2.63

Median

$6.85

p75

$14.14

p90

$19.17

p95

$22.38

p99

$31.01

50% of providers bill between $2.63 and $14.14 per claim for this code.

90% bill between $0.92 and $19.17.

Top 1% bill above $31.01.

About This Procedure

HCPCS code 80347 was billed by 121 providers across 946K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 770K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.85

Providers Billing

106

National Spending

$5.3M

Avg/Median Ratio

1.34×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80347

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$2.1M	$12.18	1.8× median	Above Median
2	1598135451	$871K	$15.37	2.2× median	Above 75th
3	Accu Reference Medical Lab, Llc Linden, NJ · Clinical Medical Laboratory	$366K	$6.08	0.9× median	Below Median
4	1215914288	$288K	$4.25	0.6× median	Below Median
5	1568724243	$233K	$11.96	1.7× median	Above Median
6	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$227K	$6.63	1.0× median	Below Median
7	Laboratory Corporation Of America Tampa, FL · Clinical Medical Laboratory	$105K	$2.06	0.3× median	Below Median
8	1487639381	$101K	$3.60	0.5× median	Below Median
9	1912300302	$100K	$10.17	1.5× median	Above Median
10	1194179150	$99K	$18.68	2.7× median	Above 75th
11	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$67K	$6.56	1.0× median	Below Median
12	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$65K	$8.11	1.2× median	Above Median
13	1942641774	$53K	$9.88	1.4× median	Above Median
14	1609273317	$42K	$8.10	1.2× median	Above Median
15	1649829987	$40K	$15.59	2.3× median	Above 75th
16	1962433177	$38K	$20.58	3.0× median	Top 10%
17	1518950732	$37K	$2.51	0.4× median	Below Median
18	1972971265	$37K	$5.18	0.8× median	Below Median
19	1104829159	$33K	$3.91	0.6× median	Below Median
20	1346582608	$32K	$19.85	2.9× median	Top 10%

Showing top 20 of 121 providers billing this code

Related Procedures

80348$30.7M 80346$25.6M 80354$23.2M 80349$20.1M 80353Benzodiazepine drug level, definitive method, each$19.2M

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