#3358 of 11K

V2430

HCPCS Procedure Code

HCPCS code V2430 is the #3,358 most-billed Medicaid procedure code, with $1.9M in payments across 37K claims from 2018–2024. The national median cost per claim is $90.38.

Total Paid

$1.9M

0.00% of all spending

Total Claims

37K

Providers

Avg Cost/Claim

$51

National Cost Distribution

How much do providers bill per claim for V2430? Based on 36 providers billing this code nationally.

Median

$90.38

Average

$100.28

Std Dev

$51.41

Max

$224.74

Percentile Distribution (Cost per Claim)

p10

$55.98

p25

$63.07

Median

$90.38

p75

$130.09

p90

$166.08

p95

$200.37

p99

$220.12

50% of providers bill between $63.07 and $130.09 per claim for this code.

90% bill between $55.98 and $166.08.

Top 1% bill above $220.12.

About This Procedure

HCPCS code V2430 was billed by 36 providers across 37K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 35K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$90.38

Providers Billing

National Spending

$1.9M

Avg/Median Ratio

1.11×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2430

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1407051279	$1.3M	$56.42	0.6× median	Below Median
2	1255758181	$153K	$164.97	1.8× median	Above 75th
3	1316125594	$80K	$55.55	0.6× median	Below Median
4	1588930127	$48K	$92.56	1.0× median	Above Median
5	1457693616	$42K	$88.00	1.0× median	Below Median
6	1003272121	$32K	$147.72	1.6× median	Above 75th
7	1336321728	$25K	$56.86	0.6× median	Below Median
8	1114025822	$24K	$62.60	0.7× median	Below Median
9	1295808012	$21K	$66.14	0.7× median	Below Median
10	1780165316	$16K	$167.19	1.8× median	Top 10%
11	1538267109	$14K	$57.89	0.6× median	Below Median
12	1467844696	$13K	$97.74	1.1× median	Above Median
13	1689704538	$11K	$93.73	1.0× median	Above Median
14	1235727439	$9K	$146.63	1.6× median	Above 75th
15	1013330208	$8K	$126.28	1.4× median	Above Median
16	1679525208	$8K	$156.93	1.7× median	Above 75th
17	1619226784	$7K	$63.23	0.7× median	Below Median
18	1023615564	$7K	$61.90	0.7× median	Below Median
19	1780896332	$6K	$83.92	0.9× median	Below Median
20	1932247996	$6K	$44.90	0.5× median	Below Median

Showing top 20 of 36 providers billing this code

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