#879 of 11K

V5140

HCPCS Procedure Code

HCPCS code V5140 is the #879 most-billed Medicaid procedure code, with $63.6M in payments across 61K claims from 2018–2024. The national median cost per claim is $1,040.42.

Total Paid

$63.6M

0.01% of all spending

Total Claims

61K

Providers

112

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for V5140? Based on 112 providers billing this code nationally.

Median

$1,040.42

Average

$1,088.81

Std Dev

$609.33

Max

$4,444.61

Percentile Distribution (Cost per Claim)

p10

$398.78

p25

$700.02

Median

$1,040.42

p75

$1,463.35

p90

$1,554.98

p95

$2,034.66

p99

$2,342.75

50% of providers bill between $700.02 and $1,463.35 per claim for this code.

90% bill between $398.78 and $1,554.98.

Top 1% bill above $2,342.75.

About This Procedure

HCPCS code V5140 was billed by 112 providers across 61K claims, totaling $63.6M in Medicaid payments from 2018–2024. This code was used for 57K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,040.42

Providers Billing

112

National Spending

$63.6M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V5140

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1760783344	$18.0M	$1,320.54	1.3× median	Above Median
2	1891227906	$5.3M	$1,427.22	1.4× median	Above Median
3	1295967552	$3.9M	$742.68	0.7× median	Below Median
4	1710025432	$3.2M	$1,399.26	1.3× median	Above Median
5	1164559456	$2.2M	$956.63	0.9× median	Below Median
6	1750621553	$2.1M	$542.10	0.5× median	Below Median
7	1063630614	$2.1M	$1,439.26	1.4× median	Above Median
8	1659674620	$2.0M	$1,454.97	1.4× median	Above Median
9	1336352269	$1.8M	$712.02	0.7× median	Below Median
10	1710250998	$1.8M	$1,461.61	1.4× median	Above Median
11	1932129848	$1.7M	$1,601.82	1.5× median	Top 10%
12	1063630804	$1.3M	$690.58	0.7× median	Below Median
13	1124622675	$1.2M	$724.90	0.7× median	Below Median
14	1578183547	$1.2M	$1,469.38	1.4× median	Above 75th
15	1194886747	$1.1M	$2,077.55	2.0× median	Top 10%
16	1548548795	$865K	$744.01	0.7× median	Below Median
17	1801344239	$709K	$1,201.44	1.2× median	Above Median
18	1295873990	$693K	$1,449.34	1.4× median	Above Median
19	1265846166	$676K	$723.35	0.7× median	Below Median
20	1295050771	$643K	$603.54	0.6× median	Below Median

Showing top 20 of 112 providers billing this code

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