#3260 of 11K

V2111

HCPCS Procedure Code

HCPCS code V2111 is the #3,260 most-billed Medicaid procedure code, with $2.1M in payments across 212K claims from 2018–2024. The national median cost per claim is $14.17. Costs vary widely — the 90th percentile is $39.67 per claim, 2.8× the median.

Total Paid

$2.1M

0.00% of all spending

Total Claims

212K

Providers

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for V2111? Based on 54 providers billing this code nationally.

Median

$14.17

Average

$18.33

Std Dev

$13.63

Max

$65.16

Percentile Distribution (Cost per Claim)

p10

$6.42

p25

$9.17

Median

$14.17

p75

$20.19

p90

$39.67

p95

$43.88

p99

$60.31

50% of providers bill between $9.17 and $20.19 per claim for this code.

90% bill between $6.42 and $39.67.

Top 1% bill above $60.31.

About This Procedure

HCPCS code V2111 was billed by 55 providers across 212K claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 178K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$14.17

Providers Billing

National Spending

$2.1M

Avg/Median Ratio

1.29×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2111

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$553K	$6.74	0.5× median	Below Median
2	1649487729	$280K	$17.00	1.2× median	Above Median
3	1588871669	$233K	$17.31	1.2× median	Above Median
4	1376576777	$223K	$9.98	0.7× median	Below Median
5	1780896332	$152K	$5.55	0.4× median	Below Median
6	1518598952	$99K	$18.00	1.3× median	Above Median
7	1669470019	$94K	$20.23	1.4× median	Above 75th
8	1417156589	$66K	$8.22	0.6× median	Below Median
9	1174011209	$55K	$11.03	0.8× median	Below Median
10	1295808012	$49K	$28.24	2.0× median	Above 75th
11	1912166885	$47K	$65.16	4.6× median	Top 1%
12	1386077832	$32K	$12.64	0.9× median	Below Median
13	1043527690	$27K	$7.95	0.6× median	Below Median
14	1720033343	$22K	$11.10	0.8× median	Below Median
15	1194192070	$22K	$11.57	0.8× median	Below Median
16	1659327054	$18K	$38.44	2.7× median	Above 75th
17	1174630677	$16K	$6.27	0.4× median	Below Median
18	1215022173	$12K	$27.96	2.0× median	Above 75th
19	1194879023	$11K	$11.72	0.8× median	Below Median
20	1124365739	$11K	$6.12	0.4× median	Below Median

Showing top 20 of 55 providers billing this code

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