#4074 of 11K

V2109

HCPCS Procedure Code

HCPCS code V2109 is the #4,074 most-billed Medicaid procedure code, with $870K in payments across 84K claims from 2018–2024. The national median cost per claim is $12.24. Costs vary widely — the 90th percentile is $50.29 per claim, 4.1× the median.

Total Paid

$870K

0.00% of all spending

Total Claims

84K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for V2109? Based on 36 providers billing this code nationally.

Median

$12.24

Average

$23.29

Std Dev

$22.05

Max

$93.02

Percentile Distribution (Cost per Claim)

p10

$5.29

p25

$7.84

Median

$12.24

p75

$31.47

p90

$50.29

p95

$71.32

p99

$86.89

50% of providers bill between $7.84 and $31.47 per claim for this code.

90% bill between $5.29 and $50.29.

Top 1% bill above $86.89.

About This Procedure

HCPCS code V2109 was billed by 38 providers across 84K claims, totaling $870K in Medicaid payments from 2018–2024. This code was used for 77K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$12.24

Providers Billing

National Spending

$870K

Avg/Median Ratio

1.90×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for V2109

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$168K	$6.59	0.5× median	Below Median
2	1649487729	$159K	$11.57	0.9× median	Below Median
3	1588871669	$111K	$11.56	0.9× median	Below Median
4	1376576777	$93K	$9.08	0.7× median	Below Median
5	1518598952	$62K	$12.18	1.0× median	Below Median
6	1417156589	$49K	$6.93	0.6× median	Below Median
7	1295808012	$39K	$21.52	1.8× median	Above Median
8	1164588133	$31K	$93.02	7.6× median	Top 1%
9	1699968073	$31K	$45.45	3.7× median	Above 75th
10	1386077832	$28K	$11.22	0.9× median	Below Median
11	1609112465	$21K	$43.28	3.5× median	Above 75th
12	1942429030	$14K	$69.93	5.7× median	Top 10%
13	1467463562	$10K	$31.25	2.6× median	Above Median
14	1194192070	$10K	$12.67	1.0× median	Above Median
15	1780896332	$9K	$9.50	0.8× median	Below Median
16	1043527690	$7K	$4.95	0.4× median	Below Median
17	1174630677	$6K	$5.33	0.4× median	Below Median
18	1104868520	$6K	$27.57	2.3× median	Above Median
19	1639329386	$4K	$48.95	4.0× median	Above 75th
20	1124365739	$4K	$5.25	0.4× median	Below Median

Showing top 20 of 38 providers billing this code

Related Procedures

V2100Lens, sphere, single vision, plus or minus 4.00$343.7M V2103Lens, sphere-cylinder, single vision, plus or minus 4.00$326.7M V2104$41.7M V2107$14.8M V2105$8.1M

← All procedures Top providers →