#3263 of 11K

V2106

HCPCS Procedure Code

HCPCS code V2106 is the #3,263 most-billed Medicaid procedure code, with $2.1M in payments across 109K claims from 2018–2024. The national median cost per claim is $17.33. Costs vary widely — the 90th percentile is $61.73 per claim, 3.6× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

109K

Providers

Avg Cost/Claim

$19

National Cost Distribution

How much do providers bill per claim for V2106? Based on 31 providers billing this code nationally.

Median

$17.33

Average

$26.35

Std Dev

$26.12

Max

$112.40

Percentile Distribution (Cost per Claim)

p10

$5.12

p25

$9.62

Median

$17.33

p75

$33.38

p90

$61.73

p95

$74.04

p99

$104.28

50% of providers bill between $9.62 and $33.38 per claim for this code.

90% bill between $5.12 and $61.73.

Top 1% bill above $104.28.

About This Procedure

HCPCS code V2106 was billed by 33 providers across 109K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 79K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.33

Providers Billing

National Spending

$2.1M

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for V2106

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$1.6M	$18.46	1.1× median	Above Median
2	1295259554	$215K	$31.08	1.8× median	Above Median
3	1376767442	$86K	$38.85	2.2× median	Above 75th
4	1376576777	$42K	$11.76	0.7× median	Below Median
5	1063753887	$40K	$30.50	1.8× median	Above Median
6	1639513377	$17K	$35.67	2.1× median	Above 75th
7	1083770119	$15K	$49.39	2.8× median	Above 75th
8	1417156589	$15K	$6.85	0.4× median	Below Median
9	1295808012	$12K	$25.41	1.5× median	Above Median
10	1649487729	$11K	$9.66	0.6× median	Below Median
11	1386077832	$6K	$24.51	1.4× median	Above Median
12	1588871669	$6K	$9.59	0.6× median	Below Median
13	1447608732	$5K	$3.75	0.2× median	Below Median
14	1780896332	$4K	$7.50	0.4× median	Below Median
15	1518598952	$3K	$10.30	0.6× median	Below Median
16	1902339963	$2K	$85.31	4.9× median	Top 10%
17	1245580232	$2K	$62.76	3.6× median	Top 10%
18	1881957249	$2K	$5.12	0.3× median	Below Median
19	1407238777	$2K	$61.73	3.6× median	Above 75th
20	1417328139	$2K	$17.96	1.0× median	Above Median

Showing top 20 of 33 providers billing this code

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