V5090
HCPCS Procedure Code
HCPCS code V5090 is the #4,077 most-billed Medicaid procedure code, with $868K in payments across 3,704 claims from 2018–2024. The national median cost per claim is $177.05. Costs vary widely — the 90th percentile is $397.11 per claim, 2.2× the median.
Total Paid
$868K
0.00% of all spending
Total Claims
3,704
Providers
12
Avg Cost/Claim
$234
National Cost Distribution
How much do providers bill per claim for V5090? Based on 12 providers billing this code nationally.
Median
$177.05
Average
$220.17
Std Dev
$156.12
Max
$503.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $98.63 and $375.13 per claim for this code.
90% bill between $73.42 and $397.11.
Top 1% bill above $491.89.
About This Procedure
HCPCS code V5090 was billed by 12 providers across 3,704 claims, totaling $868K in Medicaid payments from 2018–2024. This code was used for 2,745 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$177.05
Providers Billing
12
National Spending
$868K
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5090
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194886747 | $238K |
| 2 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $223K |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $146K |
| 4 | 1144477266 | $120K |
| 5 | 1164707998 | $109K |
| 6 | 1376622332 | $9K |
| 7 | 1992753578 | $6K |
| 8 | 1649372129 | $6K |
| 9 | 1205840857 | $6K |
| 10 | 1437535770 | $3K |
| 11 | 1831197953 | $1K |
| 12 | 1104944594 | $814 |
Showing top 12 of 12 providers billing this code