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#2754 of 11K

V5241

HCPCS Procedure Code

HCPCS code V5241 is the #2,754 most-billed Medicaid procedure code, with $3.8M in payments across 24K claims from 2018–2024. The national median cost per claim is $135.00.

Total Paid

$3.8M

0.00% of all spending

Total Claims

24K

Providers

68

Avg Cost/Claim

$160

National Cost Distribution

How much do providers bill per claim for V5241? Based on 67 providers billing this code nationally.

Median

$135.00

Average

$143.67

Std Dev

$48.21

Max

$251.41

Percentile Distribution (Cost per Claim)

p10
$98.36
p25
$119.06
Median
$135.00
p75
$189.68
p90
$194.00
p95
$207.14
p99
$233.22

50% of providers bill between $119.06 and $189.68 per claim for this code.

90% bill between $98.36 and $194.00.

Top 1% bill above $233.22.

About This Procedure

HCPCS code V5241 was billed by 68 providers across 24K claims, totaling $3.8M in Medicaid payments from 2018–2024. This code was used for 23K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$135.00

Providers Billing

67

National Spending

$3.8M

Avg/Median Ratio

1.06×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V5241

#ProviderTotal Paid
11164707998$660K
21659681823$557K
31710936836$469K
41467409698$235K
51619518214$217K
61689023699$148K
71821119314$132K
81962448233$132K
91225355860$107K
101205958691$101K
111225398837$95K
121033527957$85K
131528557402$83K
141821578618$81K
151881721330$56K
161417078056$53K
171093466088$51K
181447283882$45K
191811121635$44K
201184147928$44K

Showing top 20 of 68 providers billing this code