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#4077 of 11K

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)

p10
$73.42
p25
$98.63
Median
$177.05
p75
$375.13
p90
$397.11
p95
$445.79
p99
$491.89

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

#ProviderTotal Paid
11194886747$238K
2Connecticut Children's Medical Center

Hartford, CT · General Acute Care Hospital, Children

$223K
3Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$146K
41144477266$120K
51164707998$109K
61376622332$9K
71992753578$6K
81649372129$6K
91205840857$6K
101437535770$3K
111831197953$1K
121104944594$814

Showing top 12 of 12 providers billing this code