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#4641 of 11K

V5254

HCPCS Procedure Code

HCPCS code V5254 is the #4,641 most-billed Medicaid procedure code, with $474K in payments across 786 claims from 2018–2024. The national median cost per claim is $780.76.

Total Paid

$474K

0.00% of all spending

Total Claims

786

Providers

2

Avg Cost/Claim

$603

National Cost Distribution

How much do providers bill per claim for V5254? Based on 2 providers billing this code nationally.

Median

$780.76

Average

$780.76

Std Dev

$369.49

Max

$1,042.03

Percentile Distribution (Cost per Claim)

p10
$571.74
p25
$650.12
Median
$780.76
p75
$911.39
p90
$989.77
p95
$1,015.90
p99
$1,036.80

50% of providers bill between $650.12 and $911.39 per claim for this code.

90% bill between $571.74 and $989.77.

Top 1% bill above $1,036.80.

About This Procedure

HCPCS code V5254 was billed by 2 providers across 786 claims, totaling $474K in Medicaid payments from 2018–2024. This code was used for 362 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$780.76

Providers Billing

2

National Spending

$474K

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.