#4519 of 11K

V2630

HCPCS Procedure Code

HCPCS code V2630 is the #4,519 most-billed Medicaid procedure code, with $535K in payments across 6,045 claims from 2018–2024. The national median cost per claim is $21.16. Costs vary widely — the 90th percentile is $95.24 per claim, 4.5× the median.

Total Paid

$535K

0.00% of all spending

Total Claims

6,045

Providers

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for V2630? Based on 13 providers billing this code nationally.

Median

$21.16

Average

$46.94

Std Dev

$63.02

Max

$227.38

Percentile Distribution (Cost per Claim)

p10

$0.57

p25

$4.30

Median

$21.16

p75

$61.11

p90

$95.24

p95

$151.59

p99

$212.22

50% of providers bill between $4.30 and $61.11 per claim for this code.

90% bill between $0.57 and $95.24.

Top 1% bill above $212.22.

About This Procedure

HCPCS code V2630 was billed by 20 providers across 6,045 claims, totaling $535K in Medicaid payments from 2018–2024. This code was used for 5,468 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$21.16

Providers Billing

National Spending

$535K

Avg/Median Ratio

2.22×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for V2630

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1801916275	$486K	$227.38	10.7× median	Top 1%
2	1962500454	$20K	$29.69	1.4× median	Above Median
3	1831529049	$15K	$101.05	4.8× median	Top 10%
4	1679535587	$5K	$71.97	3.4× median	Above 75th
5	1801967815	$3K	$61.11	2.9× median	Above 75th
6	Truman Medical Center, Incorporated Kansas City, MO · General Acute Care Hospital	$2K	$19.96	0.9× median	Below Median
7	1700843208	$2K	$1.73	0.1× median	Below Median
8	Sharp Chula Vista Medical Center Chula Vista, CA · General Acute Care Hospital	$846	$21.16	1.0× median	Below Median
9	1649688037	$839	$59.94	2.8× median	Above Median
10	1639101751	$300	$0.29	0.0× median	Below Median
11	1538159397	$176	$4.30	0.2× median	Below Median
12	Sharp Memorial Hospital San Diego, CA · General Acute Care Hospital, Women	$152	$11.66	0.6× median	Below Median
13	1003168907	$0	$0.00	0.0× median	Below Median
14	1235664186	$0	$0.00	0.0× median	Below Median
15	1508859323	$0	$0.00	0.0× median	Below Median
16	Riverside Hospital Inc Newport News, VA · Psychiatric Hospital	$0	$0.00	0.0× median	Below Median
17	1689624686	$0	$0.00	0.0× median	Below Median
18	1427360700	$0	$0.00	0.0× median	Below Median
19	Hartford Hospital Hartford, CT · General Acute Care Hospital	$0	$0.00	0.0× median	Below Median
20	1548268436	$0	$0.00	0.0× median	Below Median

Showing top 20 of 20 providers billing this code

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