#737 of 11K

V2025

HCPCS Procedure Code

HCPCS code V2025 is the #737 most-billed Medicaid procedure code, with $92.4M in payments across 2.5M claims from 2018–2024. The national median cost per claim is $34.45. Costs vary widely — the 90th percentile is $70.34 per claim, 2.0× the median.

Total Paid

$92.4M

0.01% of all spending

Total Claims

2.5M

Providers

Avg Cost/Claim

$37

National Cost Distribution

How much do providers bill per claim for V2025? Based on 2K providers billing this code nationally.

Median

$34.45

Average

$38.37

Std Dev

$25.19

Max

$178.50

Percentile Distribution (Cost per Claim)

p10

$9.93

p25

$16.81

Median

$34.45

p75

$56.89

p90

$70.34

p95

$79.59

p99

$103.98

50% of providers bill between $16.81 and $56.89 per claim for this code.

90% bill between $9.93 and $70.34.

Top 1% bill above $103.98.

About This Procedure

HCPCS code V2025 was billed by 2K providers across 2.5M claims, totaling $92.4M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$34.45

Providers Billing

National Spending

$92.4M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2025

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1942644661	$10.1M	$46.55	1.4× median	Above Median
2	Massachusetts Correctional Industries Gardner, MA · Eyewear Supplier (Equipment not the service)	$4.6M	$10.68	0.3× median	Below Median
3	1225286511	$2.8M	$59.81	1.7× median	Above 75th
4	1235727439	$2.5M	$102.74	3.0× median	Top 10%
5	1417156589	$1.3M	$42.09	1.2× median	Above Median
6	1649437542	$1.2M	$100.22	2.9× median	Top 10%
7	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$1.1M	$19.64	0.6× median	Below Median
8	1255600763	$1.1M	$47.43	1.4× median	Above Median
9	1033517776	$988K	$17.75	0.5× median	Below Median
10	1255859369	$981K	$96.32	2.8× median	Top 10%
11	1295808012	$980K	$50.08	1.5× median	Above Median
12	1215036538	$846K	$60.14	1.7× median	Above 75th
13	1508334541	$782K	$90.33	2.6× median	Top 10%
14	1689192924	$720K	$90.59	2.6× median	Top 10%
15	1619008133	$679K	$61.12	1.8× median	Above 75th
16	1407238777	$658K	$63.21	1.8× median	Above 75th
17	1922293760	$651K	$111.48	3.2× median	Top 1%
18	1134152408	$547K	$59.87	1.7× median	Above 75th
19	1093233348	$534K	$88.98	2.6× median	Top 10%
20	1902998610	$515K	$70.88	2.1× median	Top 10%

Showing top 20 of 2K providers billing this code

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