Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4364 of 11K

V2205

HCPCS Procedure Code

HCPCS code V2205 is the #4,364 most-billed Medicaid procedure code, with $633K in payments across 49K claims from 2018–2024. The national median cost per claim is $17.07. Costs vary widely — the 90th percentile is $62.05 per claim, 3.6× the median.

Total Paid

$633K

0.00% of all spending

Total Claims

49K

Providers

26

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for V2205? Based on 24 providers billing this code nationally.

Median

$17.07

Average

$27.98

Std Dev

$26.30

Max

$108.06

Percentile Distribution (Cost per Claim)

p10
$5.63
p25
$7.92
Median
$17.07
p75
$34.25
p90
$62.05
p95
$70.40
p99
$99.71

50% of providers bill between $7.92 and $34.25 per claim for this code.

90% bill between $5.63 and $62.05.

Top 1% bill above $99.71.

About This Procedure

HCPCS code V2205 was billed by 26 providers across 49K claims, totaling $633K in Medicaid payments from 2018–2024. This code was used for 40K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$17.07

Providers Billing

24

National Spending

$633K

Avg/Median Ratio

1.64×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for V2205

#ProviderTotal Paid
11780997551$182K
2Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$110K
31558544171$64K
41780896332$59K
51649487729$52K
61780809285$46K
71992795934$36K
81588871669$29K
91376576777$23K
101518598952$19K
111912166885$6K
121649437542$2K
131407051279$1K
141134272099$581
151437512100$515
161043527690$504
171548249022$448
181003970344$443
191720039035$384
201124510813$367

Showing top 20 of 26 providers billing this code