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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | District Medical Group, Inc Phoenix, AZ · Anesthesiology | $143K |
| 2 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $102K |
| 3 | 1710936836 | $65K |
| 4 | 1063454346 | $64K |
| 5 | 1871798710 | $55K |
| 6 | 1144477266 | $45K |
| 7 | 1194973818 | $35K |
| 8 | 1619518214 | $27K |
| 9 | 1194136424 | $26K |
| 10 | 1881964849 | $22K |
| 11 | 1003866047 | $21K |
| 12 | Medstar Washington Hospital Center Washington, DC · General Acute Care Hospital | $17K |
| 13 | 1821119314 | $16K |
| 14 | 1326361700 | $16K |
| 15 | 1962448233 | $14K |
| 16 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $12K |
| 17 | 1225398837 | $12K |
| 18 | 1528557402 | $11K |
| 19 | 1689023699 | $10K |
| 20 | 1013991017 | $10K |
Showing top 20 of 80 providers billing this code