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#6311 of 11K

V5258

HCPCS Procedure Code

HCPCS code V5258 is the #6,311 most-billed Medicaid procedure code, with $76K in payments across 54 claims from 2018–2024. The national median cost per claim is $2,238.01.

Total Paid

$76K

0.00% of all spending

Total Claims

54

Providers

2

Avg Cost/Claim

$1K

National Cost Distribution

How much do providers bill per claim for V5258? Based on 2 providers billing this code nationally.

Median

$2,238.01

Average

$2,238.01

Std Dev

$2,271.65

Max

$3,844.31

Percentile Distribution (Cost per Claim)

p10
$952.97
p25
$1,434.86
Median
$2,238.01
p75
$3,041.16
p90
$3,523.05
p95
$3,683.68
p99
$3,812.18

50% of providers bill between $1,434.86 and $3,041.16 per claim for this code.

90% bill between $952.97 and $3,523.05.

Top 1% bill above $3,812.18.

About This Procedure

HCPCS code V5258 was billed by 2 providers across 54 claims, totaling $76K in Medicaid payments from 2018–2024. This code was used for 52 unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$2,238.01

Providers Billing

2

National Spending

$76K

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.