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#7736 of 11K

V5240

HCPCS Procedure Code

HCPCS code V5240 is the #7,736 most-billed Medicaid procedure code, with $11K in payments across 28 claims from 2018–2024. The national median cost per claim is $400.71.

Total Paid

$11K

0.00% of all spending

Total Claims

28

Providers

2

Avg Cost/Claim

$392

National Cost Distribution

How much do providers bill per claim for V5240? Based on 2 providers billing this code nationally.

Median

$400.71

Average

$400.71

Std Dev

$85.51

Max

$461.18

Percentile Distribution (Cost per Claim)

p10
$352.33
p25
$370.47
Median
$400.71
p75
$430.94
p90
$449.08
p95
$455.13
p99
$459.97

50% of providers bill between $370.47 and $430.94 per claim for this code.

90% bill between $352.33 and $449.08.

Top 1% bill above $459.97.

About This Procedure

HCPCS code V5240 was billed by 2 providers across 28 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 24 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$400.71

Providers Billing

2

National Spending

$11K

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.