#2711 of 11K

80352

HCPCS Procedure Code

HCPCS code 80352 is the #2,711 most-billed Medicaid procedure code, with $4.0M in payments across 809K claims from 2018–2024. The national median cost per claim is $4.87. Costs vary widely — the 90th percentile is $12.90 per claim, 2.6× the median.

Total Paid

$4.0M

0.00% of all spending

Total Claims

809K

Providers

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80352? Based on 52 providers billing this code nationally.

Median

$4.87

Average

$6.65

Std Dev

$5.99

Max

$35.44

Percentile Distribution (Cost per Claim)

p10

$1.26

p25

$2.80

Median

$4.87

p75

$8.82

p90

$12.90

p95

$15.39

p99

$25.62

50% of providers bill between $2.80 and $8.82 per claim for this code.

90% bill between $1.26 and $12.90.

Top 1% bill above $25.62.

About This Procedure

HCPCS code 80352 was billed by 63 providers across 809K claims, totaling $4.0M in Medicaid payments from 2018–2024. This code was used for 432K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.87

Providers Billing

National Spending

$4.0M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80352

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$2.5M	$4.42	0.9× median	Below Median
2	Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory	$433K	$5.86	1.2× median	Above Median
3	1841619731	$297K	$6.23	1.3× median	Above Median
4	Dominion Diagnostics, Llc North Kingstown, RI · Clinical Medical Laboratory	$269K	$14.13	2.9× median	Top 10%
5	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$98K	$4.03	0.8× median	Below Median
6	1326386939	$63K	$12.91	2.7× median	Top 10%
7	1821092297	$62K	$9.84	2.0× median	Above 75th
8	1588805451	$52K	$12.48	2.6× median	Above 75th
9	Healthtrackrx Indiana, Inc Denton, TX · Clinical Medical Laboratory	$42K	$5.67	1.2× median	Above Median
10	Quest Diagnostics Incorporated Clifton, NJ · Clinical Medical Laboratory	$41K	$4.72	1.0× median	Below Median
11	Clinical Pathology Laboratories, Inc. Austin, TX · Clinical Medical Laboratory	$34K	$8.97	1.8× median	Above 75th
12	1700212735	$31K	$8.09	1.7× median	Above Median
13	1649418351	$25K	$1.68	0.3× median	Below Median
14	1811984099	$22K	$4.57	0.9× median	Below Median
15	1346291986	$19K	$2.86	0.6× median	Below Median
16	1245561349	$11K	$2.09	0.4× median	Below Median
17	1447783923	$11K	$5.59	1.1× median	Above Median
18	1992759633	$10K	$11.80	2.4× median	Above 75th
19	1710916945	$9K	$8.77	1.8× median	Above Median
20	1689874893	$8K	$4.31	0.9× median	Below Median

Showing top 20 of 63 providers billing this code

Related Procedures

80348$30.7M 80361$27.2M 80346$25.6M 80354$23.2M 80349$20.1M

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