V5255
HCPCS Procedure Code
HCPCS code V5255 is the #3,296 most-billed Medicaid procedure code, with $2.0M in payments across 4,807 claims from 2018–2024. The national median cost per claim is $397.07. Costs vary widely — the 90th percentile is $820.70 per claim, 2.1× the median.
Total Paid
$2.0M
0.00% of all spending
Total Claims
4,807
Providers
3
Avg Cost/Claim
$413
National Cost Distribution
How much do providers bill per claim for V5255? Based on 3 providers billing this code nationally.
Median
$397.07
Average
$559.73
Std Dev
$318.41
Max
$926.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $376.28 and $661.84 per claim for this code.
90% bill between $363.81 and $820.70.
Top 1% bill above $916.02.
About This Procedure
HCPCS code V5255 was billed by 3 providers across 4,807 claims, totaling $2.0M in Medicaid payments from 2018–2024. This code was used for 2,073 unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$397.07
Providers Billing
3
National Spending
$2.0M
Avg/Median Ratio
1.41×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.