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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164707998 | $660K |
| 2 | 1659681823 | $557K |
| 3 | 1710936836 | $469K |
| 4 | 1467409698 | $235K |
| 5 | 1619518214 | $217K |
| 6 | 1689023699 | $148K |
| 7 | 1821119314 | $132K |
| 8 | 1962448233 | $132K |
| 9 | 1225355860 | $107K |
| 10 | 1205958691 | $101K |
| 11 | 1225398837 | $95K |
| 12 | 1033527957 | $85K |
| 13 | 1528557402 | $83K |
| 14 | 1821578618 | $81K |
| 15 | 1881721330 | $56K |
| 16 | 1417078056 | $53K |
| 17 | 1093466088 | $51K |
| 18 | 1447283882 | $45K |
| 19 | 1811121635 | $44K |
| 20 | 1184147928 | $44K |
Showing top 20 of 68 providers billing this code