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#2127 of 11K

V2199

HCPCS Procedure Code

HCPCS code V2199 is the #2,127 most-billed Medicaid procedure code, with $8.7M in payments across 197K claims from 2018–2024. The national median cost per claim is $37.83.

Total Paid

$8.7M

0.00% of all spending

Total Claims

197K

Providers

213

Avg Cost/Claim

$44

National Cost Distribution

How much do providers bill per claim for V2199? Based on 193 providers billing this code nationally.

Median

$37.83

Average

$37.98

Std Dev

$26.35

Max

$124.19

Percentile Distribution (Cost per Claim)

p10
$6.83
p25
$10.33
Median
$37.83
p75
$60.82
p90
$66.47
p95
$70.34
p99
$117.28

50% of providers bill between $10.33 and $60.82 per claim for this code.

90% bill between $6.83 and $66.47.

Top 1% bill above $117.28.

About This Procedure

HCPCS code V2199 was billed by 213 providers across 197K claims, totaling $8.7M in Medicaid payments from 2018–2024. This code was used for 157K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$37.83

Providers Billing

193

National Spending

$8.7M

Avg/Median Ratio

1.00×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2199

#ProviderTotal Paid
11265502264$1.2M
21134142243$511K
31437555182$448K
41043418510$389K
51568630085$338K
61043259930$287K
71801259734$268K
81134188600$244K
91073622924$230K
101225090459$218K
111386616480$209K
121710919741$205K
131780082628$173K
14Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$162K
151194123158$149K
161760664346$148K
171679634810$134K
181033182936$133K
191831259191$129K
201649371667$111K

Showing top 20 of 213 providers billing this code