V5256
HCPCS Procedure Code
HCPCS code V5256 is the #2,214 most-billed Medicaid procedure code, with $7.8M in payments across 18K claims from 2018–2024. The national median cost per claim is $360.78. Costs vary widely — the 90th percentile is $1,234.02 per claim, 3.4× the median.
Total Paid
$7.8M
0.00% of all spending
Total Claims
18K
Providers
26
Avg Cost/Claim
$435
National Cost Distribution
How much do providers bill per claim for V5256? Based on 25 providers billing this code nationally.
Median
$360.78
Average
$582.69
Std Dev
$411.20
Max
$1,630.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $309.58 and $747.41 per claim for this code.
90% bill between $290.85 and $1,234.02.
Top 1% bill above $1,538.55.
About This Procedure
HCPCS code V5256 was billed by 26 providers across 18K claims, totaling $7.8M in Medicaid payments from 2018–2024. This code was used for 11K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$360.78
Providers Billing
25
National Spending
$7.8M
Avg/Median Ratio
1.62×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for V5256
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1205466166 | $2.9M |
| 2 | 1720243637 | $1.2M |
| 3 | 1821119314 | $775K |
| 4 | 1619518214 | $674K |
| 5 | 1225398837 | $500K |
| 6 | 1164707998 | $397K |
| 7 | 1528557402 | $312K |
| 8 | 1225355860 | $191K |
| 9 | 1467409698 | $190K |
| 10 | 1093466088 | $119K |
| 11 | 1245302629 | $108K |
| 12 | 1205958691 | $102K |
| 13 | 1811312515 | $95K |
| 14 | 1962448233 | $70K |
| 15 | 1710936836 | $43K |
| 16 | 1316471659 | $37K |
| 17 | 1184950768 | $33K |
| 18 | 1447283882 | $8K |
| 19 | 1427514710 | $7K |
| 20 | 1093056004 | $5K |
Showing top 20 of 26 providers billing this code