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#4412 of 11K

V5253

HCPCS Procedure Code

HCPCS code V5253 is the #4,412 most-billed Medicaid procedure code, with $606K in payments across 487 claims from 2018–2024. The national median cost per claim is $1,217.66.

Total Paid

$606K

0.00% of all spending

Total Claims

487

Providers

4

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for V5253? Based on 4 providers billing this code nationally.

Median

$1,217.66

Average

$1,350.08

Std Dev

$831.90

Max

$2,483.76

Percentile Distribution (Cost per Claim)

p10
$695.45
p25
$1,016.74
Median
$1,217.66
p75
$1,550.99
p90
$2,110.65
p95
$2,297.21
p99
$2,446.45

50% of providers bill between $1,016.74 and $1,550.99 per claim for this code.

90% bill between $695.45 and $2,110.65.

Top 1% bill above $2,446.45.

About This Procedure

HCPCS code V5253 was billed by 4 providers across 487 claims, totaling $606K in Medicaid payments from 2018–2024. This code was used for 455 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$1,217.66

Providers Billing

4

National Spending

$606K

Avg/Median Ratio

1.11×

Normal distribution

Provider Coverage

We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.