#4698 of 11K

V2599

HCPCS Procedure Code

HCPCS code V2599 is the #4,698 most-billed Medicaid procedure code, with $445K in payments across 7,926 claims from 2018–2024. The national median cost per claim is $95.04.

Total Paid

$445K

0.00% of all spending

Total Claims

7,926

Providers

Avg Cost/Claim

$56

National Cost Distribution

How much do providers bill per claim for V2599? Based on 56 providers billing this code nationally.

Median

$95.04

Average

$104.88

Std Dev

$55.78

Max

$434.54

Percentile Distribution (Cost per Claim)

p10

$61.77

p25

$80.29

Median

$95.04

p75

$111.12

p90

$158.76

p95

$166.58

p99

$291.79

50% of providers bill between $80.29 and $111.12 per claim for this code.

90% bill between $61.77 and $158.76.

Top 1% bill above $291.79.

About This Procedure

HCPCS code V2599 was billed by 89 providers across 7,926 claims, totaling $445K in Medicaid payments from 2018–2024. This code was used for 7,564 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$95.04

Providers Billing

National Spending

$445K

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2599

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1942644661	$54K	$91.14	1.0× median	Below Median
2	1972681401	$50K	$80.39	0.8× median	Below Median
3	1285612390	$47K	$434.54	4.6× median	Top 1%
4	1932174505	$32K	$160.38	1.7× median	Top 10%
5	1104811736	$21K	$123.90	1.3× median	Above 75th
6	1851420590	$15K	$82.80	0.9× median	Below Median
7	1235181769	$14K	$106.84	1.1× median	Above Median
8	1033594007	$14K	$95.30	1.0× median	Above Median
9	1174623292	$11K	$86.65	0.9× median	Below Median
10	1407930712	$10K	$60.25	0.6× median	Below Median
11	1720001035	$10K	$112.00	1.2× median	Above 75th
12	1245663061	$9K	$144.61	1.5× median	Above 75th
13	1801817689	$9K	$78.16	0.8× median	Below Median
14	1336218007	$9K	$173.65	1.8× median	Top 10%
15	1306920632	$8K	$63.28	0.7× median	Below Median
16	1306973474	$8K	$79.16	0.8× median	Below Median
17	1124597307	$8K	$126.85	1.3× median	Above 75th
18	1548458102	$8K	$129.42	1.4× median	Above 75th
19	1245367853	$7K	$88.10	0.9× median	Below Median
20	1003287558	$7K	$103.12	1.1× median	Above Median

Showing top 20 of 89 providers billing this code

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