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#3163 of 11K

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)

p10
$598.18
p25
$721.66
Median
$927.46
p75
$1,133.27
p90
$1,256.75
p95
$1,297.91
p99
$1,330.84

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.