V5221
HCPCS Procedure Code
HCPCS code V5221 is the #3,163 most-billed Medicaid procedure code, with $2.3M in payments across 1,785 claims from 2018–2024. The national median cost per claim is $927.46.
Total Paid
$2.3M
0.00% of all spending
Total Claims
1,785
Providers
2
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for V5221? Based on 2 providers billing this code nationally.
Median
$927.46
Average
$927.46
Std Dev
$582.10
Max
$1,339.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $721.66 and $1,133.27 per claim for this code.
90% bill between $598.18 and $1,256.75.
Top 1% bill above $1,330.84.
About This Procedure
HCPCS code V5221 was billed by 2 providers across 1,785 claims, totaling $2.3M in Medicaid payments from 2018–2024. This code was used for 1,774 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$927.46
Providers Billing
2
National Spending
$2.3M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.