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#2838 of 11K

80375

HCPCS Procedure Code

HCPCS code 80375 is the #2,838 most-billed Medicaid procedure code, with $3.4M in payments across 466K claims from 2018–2024. The national median cost per claim is $4.44. Costs vary widely — the 90th percentile is $14.86 per claim, 3.3× the median.

Total Paid

$3.4M

0.00% of all spending

Total Claims

466K

Providers

108

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for 80375? Based on 88 providers billing this code nationally.

Median

$4.44

Average

$6.47

Std Dev

$7.12

Max

$45.00

Percentile Distribution (Cost per Claim)

p10
$0.23
p25
$0.96
Median
$4.44
p75
$10.16
p90
$14.86
p95
$16.68
p99
$29.58

50% of providers bill between $0.96 and $10.16 per claim for this code.

90% bill between $0.23 and $14.86.

Top 1% bill above $29.58.

About This Procedure

HCPCS code 80375 was billed by 108 providers across 466K claims, totaling $3.4M in Medicaid payments from 2018–2024. This code was used for 306K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$4.44

Providers Billing

88

National Spending

$3.4M

Avg/Median Ratio

1.46×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 80375

#ProviderTotal Paid
1Precision Toxicology, Llc

San Diego, CA · Clinical Medical Laboratory

$902K
21598135451$663K
31215272406$373K
41194744185$230K
51639778921$160K
6Millennium Health Llc

San Diego, CA · Clinical Medical Laboratory

$142K
71144527003$140K
81912300302$109K
9Aegis Sciences Corporation

Nashville, TN · Clinical Medical Laboratory

$62K
101508895640$60K
11Healthtrackrx Indiana, Inc

Denton, TX · Clinical Medical Laboratory

$48K
121629144050$41K
131649829987$39K
14Ethos Holding Corp

Newport, KY · Clinical Medical Laboratory

$38K
151265854855$34K
161982940862$33K
171477925188$31K
181134559685$30K
191568724243$29K
201952777831$23K

Showing top 20 of 108 providers billing this code