V5160
HCPCS Procedure Code
HCPCS code V5160 is the #1,214 most-billed Medicaid procedure code, with $33.1M in payments across 109K claims from 2018–2024. The national median cost per claim is $309.52.
Total Paid
$33.1M
0.00% of all spending
Total Claims
109K
Providers
230
Avg Cost/Claim
$304
National Cost Distribution
How much do providers bill per claim for V5160? Based on 226 providers billing this code nationally.
Median
$309.52
Average
$303.59
Std Dev
$137.94
Max
$627.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $202.39 and $377.71 per claim for this code.
90% bill between $141.77 and $500.00.
Top 1% bill above $613.48.
About This Procedure
HCPCS code V5160 was billed by 230 providers across 109K claims, totaling $33.1M in Medicaid payments from 2018–2024. This code was used for 102K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$309.52
Providers Billing
226
National Spending
$33.1M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5160
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1033585302 | $5.1M |
| 2 | 1164707998 | $3.5M |
| 3 | 1295967552 | $1.9M |
| 4 | 1750621553 | $1.6M |
| 5 | 1336352269 | $1.2M |
| 6 | 1194136424 | $1.2M |
| 7 | 1063630804 | $840K |
| 8 | 1336605757 | $804K |
| 9 | 1124622675 | $744K |
| 10 | 1639101751 | $724K |
| 11 | 1538457957 | $698K |
| 12 | 1093884926 | $504K |
| 13 | 1760661052 | $484K |
| 14 | 1184069288 | $482K |
| 15 | 1710936836 | $466K |
| 16 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $461K |
| 17 | 1598891855 | $444K |
| 18 | 1265846166 | $396K |
| 19 | 1538605746 | $375K |
| 20 | 1114081338 | $330K |
Showing top 20 of 230 providers billing this code