V5050
HCPCS Procedure Code
HCPCS code V5050 is the #5,580 most-billed Medicaid procedure code, with $173K in payments across 479 claims from 2018–2024. The national median cost per claim is $349.24. Costs vary widely — the 90th percentile is $878.41 per claim, 2.5× the median.
Total Paid
$173K
0.00% of all spending
Total Claims
479
Providers
8
Avg Cost/Claim
$361
National Cost Distribution
How much do providers bill per claim for V5050? Based on 8 providers billing this code nationally.
Median
$349.24
Average
$466.82
Std Dev
$451.48
Max
$1,463.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $197.58 and $547.78 per claim for this code.
90% bill between $140.90 and $878.41.
Top 1% bill above $1,404.73.
About This Procedure
HCPCS code V5050 was billed by 8 providers across 479 claims, totaling $173K in Medicaid payments from 2018–2024. This code was used for 427 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$349.24
Providers Billing
8
National Spending
$173K
Avg/Median Ratio
1.34×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5050
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1932248333 | $55K |
| 2 | 1205840857 | $38K |
| 3 | 1811121635 | $33K |
| 4 | 1760783344 | $16K |
| 5 | 1023365012 | $14K |
| 6 | 1225229271 | $13K |
| 7 | 1609329093 | $3K |
| 8 | 1457417412 | $2K |
Showing top 8 of 8 providers billing this code