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#3077 of 11K

V2204

HCPCS Procedure Code

HCPCS code V2204 is the #3,077 most-billed Medicaid procedure code, with $2.6M in payments across 204K claims from 2018–2024. The national median cost per claim is $18.98. Costs vary widely — the 90th percentile is $46.06 per claim, 2.4× the median.

Total Paid

$2.6M

0.00% of all spending

Total Claims

204K

Providers

77

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for V2204? Based on 72 providers billing this code nationally.

Median

$18.98

Average

$23.65

Std Dev

$19.44

Max

$135.20

Percentile Distribution (Cost per Claim)

p10
$6.88
p25
$11.49
Median
$18.98
p75
$30.19
p90
$46.06
p95
$50.01
p99
$84.85

50% of providers bill between $11.49 and $30.19 per claim for this code.

90% bill between $6.88 and $46.06.

Top 1% bill above $84.85.

About This Procedure

HCPCS code V2204 was billed by 77 providers across 204K claims, totaling $2.6M in Medicaid payments from 2018–2024. This code was used for 187K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$18.98

Providers Billing

72

National Spending

$2.6M

Avg/Median Ratio

1.25×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2204

#ProviderTotal Paid
1Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$882K
21649487729$500K
31588871669$315K
41376576777$190K
51518598952$178K
61407051279$60K
71417577123$38K
81780896332$33K
91174011209$30K
101295808012$28K
111720033343$24K
121417156589$20K
131457350530$20K
141386077832$19K
151194879023$17K
161598802712$17K
171043527690$16K
181720178577$16K
191538292891$15K
201174630677$15K

Showing top 20 of 77 providers billing this code