Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#1512 of 11K

83020

HCPCS Procedure Code

HCPCS code 83020 is the #1,512 most-billed Medicaid procedure code, with $20.7M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $9.42.

Total Paid

$20.7M

0.00% of all spending

Total Claims

2.3M

Providers

827

Avg Cost/Claim

$9

National Cost Distribution

How much do providers bill per claim for 83020? Based on 790 providers billing this code nationally.

Median

$9.42

Average

$13.16

Std Dev

$33.94

Max

$811.13

Percentile Distribution (Cost per Claim)

p10
$2.52
p25
$5.28
Median
$9.42
p75
$13.13
p90
$17.94
p95
$23.20
p99
$144.31

50% of providers bill between $5.28 and $13.13 per claim for this code.

90% bill between $2.52 and $17.94.

Top 1% bill above $144.31.

About This Procedure

HCPCS code 83020 was billed by 827 providers across 2.3M claims, totaling $20.7M in Medicaid payments from 2018–2024. This code was used for 2.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$9.42

Providers Billing

790

National Spending

$20.7M

Avg/Median Ratio

1.40×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 83020

#ProviderTotal Paid
1Laboratory Corporation Of America Holdings

Burlington, NC · Clinical Medical Laboratory

$1.1M
21477670529$889K
3Laboratory Corporation Of America Holdings

Raritan, NJ · Clinical Medical Laboratory

$595K
41992727663$524K
5Laboratory Corporation Of America Holdings

Dublin, OH · Clinical Medical Laboratory

$495K
6Quest Diagnostics Incorporated

Clifton, NJ · Clinical Medical Laboratory

$485K
7Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$484K
8Northwell Health Laboratories

New Hyde Park, NY · Clinical Medical Laboratory

$463K
91235290651$400K
101669499414$345K
11Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$328K
12Laboratory Corporation Of America Holdings

Birmingham, AL · Clinical Medical Laboratory

$314K
131093768723$313K
14Quest Diagnostics Clinical Laboratories Inc

Miramar, FL · Clinical Medical Laboratory

$291K
15Laboratory Corporation Of America

Tampa, FL · Clinical Medical Laboratory

$277K
16Quest Diagnostics Llc Il

Wood Dale, IL · Clinical Medical Laboratory

$259K
171649299827$234K
18Unilab Corporation

West Hills, CA · Clinical Medical Laboratory

$233K
19Quest Diagnostics Clinical Laboratories Inc

Irving, TX · Clinical Medical Laboratory

$209K
20Mid Atlantic Pemanente Medical Group

Rockville, MD · Health Maintenance Organization

$205K

Showing top 20 of 827 providers billing this code