#1735 of 11K

80372

HCPCS Procedure Code

HCPCS code 80372 is the #1,735 most-billed Medicaid procedure code, with $15.1M in payments across 3.0M claims from 2018–2024. The national median cost per claim is $6.21. Costs vary widely — the 90th percentile is $14.66 per claim, 2.4× the median.

Total Paid

$15.1M

0.00% of all spending

Total Claims

3.0M

Providers

364

Avg Cost/Claim

National Cost Distribution

How much do providers bill per claim for 80372? Based on 310 providers billing this code nationally.

Median

$6.21

Average

$7.04

Std Dev

$5.69

Max

$35.49

Percentile Distribution (Cost per Claim)

p10

$0.98

p25

$2.75

Median

$6.21

p75

$10.12

p90

$14.66

p95

$16.27

p99

$28.70

50% of providers bill between $2.75 and $10.12 per claim for this code.

90% bill between $0.98 and $14.66.

Top 1% bill above $28.70.

About This Procedure

HCPCS code 80372 was billed by 364 providers across 3.0M claims, totaling $15.1M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6.21

Providers Billing

310

National Spending

$15.1M

Avg/Median Ratio

1.13×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80372

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Millennium Health Llc San Diego, CA · Clinical Medical Laboratory	$2.9M	$4.04	0.7× median	Below Median
2	Laboratory Corporation Of America Holdings Burlington, NC · Clinical Medical Laboratory	$1.3M	$6.10	1.0× median	Below Median
3	Precision Toxicology, Llc San Diego, CA · Clinical Medical Laboratory	$768K	$9.20	1.5× median	Above Median
4	Brightview Llc Cincinnati, OH · Internal Medicine Addiction Medicine	$544K	$8.34	1.3× median	Above Median
5	1346363306	$489K	$10.48	1.7× median	Above 75th
6	1841619731	$424K	$8.76	1.4× median	Above Median
7	Labone Of Ohio Inc Cincinnati, OH · Clinical Medical Laboratory	$395K	$9.07	1.5× median	Above Median
8	1215272406	$362K	$12.18	2.0× median	Above 75th
9	Acutis Diagnostics Inc Hicksville, NY · Clinical Medical Laboratory	$344K	$5.10	0.8× median	Below Median
10	Aegis Sciences Corporation Nashville, TN · Clinical Medical Laboratory	$317K	$6.09	1.0× median	Below Median
11	1215914288	$264K	$3.89	0.6× median	Below Median
12	1073961108	$257K	$2.78	0.4× median	Below Median
13	1598135451	$240K	$15.59	2.5× median	Top 10%
14	1700844339	$199K	$6.50	1.0× median	Above Median
15	1568724243	$198K	$9.80	1.6× median	Above Median
16	1982091617	$196K	$7.63	1.2× median	Above Median
17	Quest Diagnostics Of Pennsylvania, Inc. Pittsburgh, PA · Clinical Medical Laboratory	$194K	$6.56	1.1× median	Above Median
18	1194744185	$178K	$2.26	0.4× median	Below Median
19	1316370950	$169K	$11.03	1.8× median	Above 75th
20	1972888139	$167K	$6.20	1.0× median	Below Median

Showing top 20 of 364 providers billing this code

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80373$21.4M 80365$21.2M 80366$13.6M 80362$12.7M 80368$11.7M

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