#2183 of 11K

V2105

HCPCS Procedure Code

HCPCS code V2105 is the #2,183 most-billed Medicaid procedure code, with $8.1M in payments across 560K claims from 2018–2024. The national median cost per claim is $23.98. Costs vary widely — the 90th percentile is $52.11 per claim, 2.2× the median.

Total Paid

$8.1M

0.00% of all spending

Total Claims

560K

Providers

332

Avg Cost/Claim

$15

National Cost Distribution

How much do providers bill per claim for V2105? Based on 320 providers billing this code nationally.

Median

$23.98

Average

$27.92

Std Dev

$16.97

Max

$97.28

Percentile Distribution (Cost per Claim)

p10

$9.73

p25

$14.32

Median

$23.98

p75

$37.66

p90

$52.11

p95

$56.51

p99

$76.22

50% of providers bill between $14.32 and $37.66 per claim for this code.

90% bill between $9.73 and $52.11.

Top 1% bill above $76.22.

About This Procedure

HCPCS code V2105 was billed by 332 providers across 560K claims, totaling $8.1M in Medicaid payments from 2018–2024. This code was used for 499K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.98

Providers Billing

320

National Spending

$8.1M

Avg/Median Ratio

1.16×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2105

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1649437542	$1.2M	$73.29	3.1× median	Top 10%
2	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$878K	$6.73	0.3× median	Below Median
3	1649487729	$718K	$10.70	0.4× median	Below Median
4	1588871669	$553K	$10.73	0.4× median	Below Median
5	1376576777	$480K	$9.18	0.4× median	Below Median
6	1780896332	$297K	$7.22	0.3× median	Below Median
7	1518598952	$297K	$11.37	0.5× median	Below Median
8	1417156589	$265K	$7.28	0.3× median	Below Median
9	1295808012	$243K	$21.28	0.9× median	Below Median
10	1386077832	$228K	$18.24	0.8× median	Below Median
11	1245580232	$188K	$50.78	2.1× median	Above 75th
12	1679525208	$131K	$44.57	1.9× median	Above 75th
13	1962762765	$106K	$51.42	2.1× median	Above 75th
14	1609112465	$103K	$41.01	1.7× median	Above 75th
15	1174734560	$97K	$55.43	2.3× median	Top 10%
16	1093229718	$86K	$36.51	1.5× median	Above Median
17	1336489210	$85K	$54.20	2.3× median	Top 10%
18	1770648297	$73K	$48.99	2.0× median	Above 75th
19	1407051279	$71K	$19.30	0.8× median	Below Median
20	1780954800	$68K	$28.44	1.2× median	Above Median

Showing top 20 of 332 providers billing this code

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