V5265
HCPCS Procedure Code
HCPCS code V5265 is the #2,636 most-billed Medicaid procedure code, with $4.4M in payments across 71K claims from 2018–2024. The national median cost per claim is $43.02.
Total Paid
$4.4M
0.00% of all spending
Total Claims
71K
Providers
26
Avg Cost/Claim
$62
National Cost Distribution
How much do providers bill per claim for V5265? Based on 24 providers billing this code nationally.
Median
$43.02
Average
$51.70
Std Dev
$34.21
Max
$167.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.05 and $69.69 per claim for this code.
90% bill between $21.09 and $85.59.
Top 1% bill above $151.13.
About This Procedure
HCPCS code V5265 was billed by 26 providers across 71K claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 44K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$43.02
Providers Billing
24
National Spending
$4.4M
Avg/Median Ratio
1.20×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for V5265
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1659681823 | $3.6M |
| 2 | 1538457957 | $539K |
| 3 | 1134218332 | $71K |
| 4 | 1689023699 | $51K |
| 5 | 1194886747 | $34K |
| 6 | 1922350297 | $34K |
| 7 | 1871798710 | $32K |
| 8 | 1619252244 | $32K |
| 9 | 1164707998 | $29K |
| 10 | 1053309864 | $17K |
| 11 | 1053765388 | $8K |
| 12 | 1013991017 | $8K |
| 13 | 1356860811 | $5K |
| 14 | 1780805697 | $3K |
| 15 | 1104944594 | $3K |
| 16 | 1013173731 | $3K |
| 17 | 1285776005 | $2K |
| 18 | 1306054234 | $2K |
| 19 | 1336354794 | $2K |
| 20 | 1033585302 | $741 |
Showing top 20 of 26 providers billing this code