V5020
HCPCS Procedure Code
HCPCS code V5020 is the #3,238 most-billed Medicaid procedure code, with $2.2M in payments across 52K claims from 2018–2024. The national median cost per claim is $34.66. Costs vary widely — the 90th percentile is $88.19 per claim, 2.5× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
52K
Providers
77
Avg Cost/Claim
$42
National Cost Distribution
How much do providers bill per claim for V5020? Based on 72 providers billing this code nationally.
Median
$34.66
Average
$49.34
Std Dev
$51.46
Max
$327.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.52 and $60.62 per claim for this code.
90% bill between $16.71 and $88.19.
Top 1% bill above $306.30.
About This Procedure
HCPCS code V5020 was billed by 77 providers across 52K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 43K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$34.66
Providers Billing
72
National Spending
$2.2M
Avg/Median Ratio
1.42×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5020
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1891745758 | $242K |
| 2 | 1194886747 | $200K |
| 3 | 1538457957 | $187K |
| 4 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $187K |
| 5 | 1063454346 | $125K |
| 6 | 1962400036 | $94K |
| 7 | 1245251222 | $89K |
| 8 | 1033585302 | $85K |
| 9 | 1639101751 | $73K |
| 10 | 1720151145 | $67K |
| 11 | 1952746265 | $67K |
| 12 | 1013352046 | $66K |
| 13 | 1053820332 | $61K |
| 14 | 1023365012 | $57K |
| 15 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $54K |
| 16 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $52K |
| 17 | 1669872453 | $50K |
| 18 | 1932248333 | $37K |
| 19 | Group Health Plan, Inc. Minneapolis, MN · Clinic/Center, Multi-Specialty | $32K |
| 20 | 1588953640 | $27K |
Showing top 20 of 77 providers billing this code