#2503 of 11K

V2781

HCPCS Procedure Code

HCPCS code V2781 is the #2,503 most-billed Medicaid procedure code, with $5.3M in payments across 252K claims from 2018–2024. The national median cost per claim is $29.17. Costs vary widely — the 90th percentile is $79.42 per claim, 2.7× the median.

Total Paid

$5.3M

0.00% of all spending

Total Claims

252K

Providers

688

Avg Cost/Claim

$21

National Cost Distribution

How much do providers bill per claim for V2781? Based on 392 providers billing this code nationally.

Median

$29.17

Average

$36.11

Std Dev

$33.85

Max

$194.59

Percentile Distribution (Cost per Claim)

p10

$1.42

p25

$10.34

Median

$29.17

p75

$46.46

p90

$79.42

p95

$109.56

p99

$150.30

50% of providers bill between $10.34 and $46.46 per claim for this code.

90% bill between $1.42 and $79.42.

Top 1% bill above $150.30.

About This Procedure

HCPCS code V2781 was billed by 688 providers across 252K claims, totaling $5.3M in Medicaid payments from 2018–2024. This code was used for 178K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$29.17

Providers Billing

392

National Spending

$5.3M

Avg/Median Ratio

1.24×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2781

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1225286511	$417K	$82.16	2.8× median	Top 10%
2	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$367K	$6.22	0.2× median	Below Median
3	1174630677	$315K	$36.75	1.3× median	Above Median
4	1831244953	$268K	$56.48	1.9× median	Above 75th
5	1053503912	$226K	$194.59	6.7× median	Top 1%
6	1043785363	$197K	$160.85	5.5× median	Top 1%
7	1033182183	$180K	$113.82	3.9× median	Top 10%
8	1407051279	$143K	$60.23	2.1× median	Above 75th
9	1770648297	$139K	$45.47	1.6× median	Above Median
10	1255758181	$119K	$128.17	4.4× median	Top 10%
11	1346841897	$115K	$87.32	3.0× median	Top 10%
12	1174738603	$96K	$53.65	1.8× median	Above 75th
13	1861779266	$91K	$138.57	4.8× median	Top 10%
14	1477760981	$89K	$36.68	1.3× median	Above Median
15	1235343765	$84K	$47.41	1.6× median	Above 75th
16	1205002383	$82K	$116.41	4.0× median	Top 10%
17	1831291814	$81K	$13.72	0.5× median	Below Median
18	1215258157	$74K	$68.70	2.4× median	Above 75th
19	1952516049	$69K	$61.37	2.1× median	Above 75th
20	1619008133	$62K	$72.90	2.5× median	Above 75th

Showing top 20 of 688 providers billing this code

Related Procedures

V2784Lens, polycarbonate or equal$223.1M V2783$11.9M V2782$4.1M V2780$1.1M V2785$496K

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