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#1092 of 11K

V2104

HCPCS Procedure Code

HCPCS code V2104 is the #1,092 most-billed Medicaid procedure code, with $41.7M in payments across 2.9M claims from 2018–2024. The national median cost per claim is $16.70. Costs vary widely — the 90th percentile is $39.89 per claim, 2.4× the median.

Total Paid

$41.7M

0.00% of all spending

Total Claims

2.9M

Providers

2K

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for V2104? Based on 2K providers billing this code nationally.

Median

$16.70

Average

$20.61

Std Dev

$13.51

Max

$94.27

Percentile Distribution (Cost per Claim)

p10
$8.47
p25
$12.54
Median
$16.70
p75
$24.86
p90
$39.89
p95
$48.68
p99
$67.09

50% of providers bill between $12.54 and $24.86 per claim for this code.

90% bill between $8.47 and $39.89.

Top 1% bill above $67.09.

About This Procedure

HCPCS code V2104 was billed by 2K providers across 2.9M claims, totaling $41.7M in Medicaid payments from 2018–2024. This code was used for 2.5M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$16.70

Providers Billing

2K

National Spending

$41.7M

Avg/Median Ratio

1.23×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2104

#ProviderTotal Paid
1Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$4.6M
21649487729$3.4M
31588871669$2.4M
41376576777$1.8M
51518598952$1.3M
61417156589$1.1M
71386077832$878K
81295808012$716K
91326472945$599K
101235727439$557K
111609112465$545K
121962762765$545K
131174734560$505K
141639339930$500K
151679525208$471K
161336489210$432K
171770648297$413K
181194021386$398K
191245580232$386K
201578574828$375K

Showing top 20 of 2K providers billing this code