Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#7234 of 11K

V5246

HCPCS Procedure Code

HCPCS code V5246 is the #7,234 most-billed Medicaid procedure code, with $24K in payments across 32 claims from 2018–2024. The national median cost per claim is $749.00.

Total Paid

$24K

0.00% of all spending

Total Claims

32

Providers

1

Avg Cost/Claim

$749

National Cost Distribution

How much do providers bill per claim for V5246? Based on 1 providers billing this code nationally.

Median

$749.00

Average

$749.00

Std Dev

Max

$749.00

Percentile Distribution (Cost per Claim)

p10
$749.00
p25
$749.00
Median
$749.00
p75
$749.00
p90
$749.00
p95
$749.00
p99
$749.00

50% of providers bill between $749.00 and $749.00 per claim for this code.

90% bill between $749.00 and $749.00.

Top 1% bill above $749.00.

About This Procedure

HCPCS code V5246 was billed by 1 providers across 32 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 32 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$749.00

Providers Billing

1

National Spending

$24K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.