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#2464 of 11K

V5060

HCPCS Procedure Code

HCPCS code V5060 is the #2,464 most-billed Medicaid procedure code, with $5.6M in payments across 7,567 claims from 2018–2024. The national median cost per claim is $735.01.

Total Paid

$5.6M

0.00% of all spending

Total Claims

7,567

Providers

16

Avg Cost/Claim

$742

National Cost Distribution

How much do providers bill per claim for V5060? Based on 12 providers billing this code nationally.

Median

$735.01

Average

$651.60

Std Dev

$376.69

Max

$1,271.73

Percentile Distribution (Cost per Claim)

p10
$254.13
p25
$316.79
Median
$735.01
p75
$911.35
p90
$1,048.85
p95
$1,151.84
p99
$1,247.75

50% of providers bill between $316.79 and $911.35 per claim for this code.

90% bill between $254.13 and $1,048.85.

Top 1% bill above $1,247.75.

About This Procedure

HCPCS code V5060 was billed by 16 providers across 7,567 claims, totaling $5.6M in Medicaid payments from 2018–2024. This code was used for 5,515 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$735.01

Providers Billing

12

National Spending

$5.6M

Avg/Median Ratio

0.89×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V5060

#ProviderTotal Paid
11992862312$2.4M
21811134950$2.3M
31760783344$528K
41700108271$130K
51932574142$86K
61992008320$47K
71376622332$38K
81376962811$37K
91609329093$14K
101972528172$11K
111831197953$4K
121477561983$1K
13Contra Costa County

Martinez, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$0
141891935292$0
15Contra Costa County

Pittsburg, CA · Clinic/Center Federally Qualified Health Center (FQHC)

$0
161710926167$0

Showing top 16 of 16 providers billing this code

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