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#4128 of 11K

V5275

HCPCS Procedure Code

HCPCS code V5275 is the #4,128 most-billed Medicaid procedure code, with $822K in payments across 27K claims from 2018–2024. The national median cost per claim is $25.61. Costs vary widely — the 90th percentile is $52.21 per claim, 2.0× the median.

Total Paid

$822K

0.00% of all spending

Total Claims

27K

Providers

80

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for V5275? Based on 73 providers billing this code nationally.

Median

$25.61

Average

$32.89

Std Dev

$29.92

Max

$175.28

Percentile Distribution (Cost per Claim)

p10
$8.26
p25
$17.10
Median
$25.61
p75
$40.67
p90
$52.21
p95
$100.26
p99
$141.48

50% of providers bill between $17.10 and $40.67 per claim for this code.

90% bill between $8.26 and $52.21.

Top 1% bill above $141.48.

About This Procedure

HCPCS code V5275 was billed by 80 providers across 27K claims, totaling $822K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.61

Providers Billing

73

National Spending

$822K

Avg/Median Ratio

1.28×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V5275

#ProviderTotal Paid
1District Medical Group, Inc

Phoenix, AZ · Anesthesiology

$143K
2Children's Health System Of Texas

Dallas, TX · General Acute Care Hospital Children

$102K
31710936836$65K
41063454346$64K
51871798710$55K
61144477266$45K
71194973818$35K
81619518214$27K
91194136424$26K
101881964849$22K
111003866047$21K
12Medstar Washington Hospital Center

Washington, DC · General Acute Care Hospital

$17K
131821119314$16K
141326361700$16K
151962448233$14K
16Umass Memorial Medical Center, Inc.

Worcester, MA · General Acute Care Hospital

$12K
171225398837$12K
181528557402$11K
191689023699$10K
201013991017$10K

Showing top 20 of 80 providers billing this code