#3386 of 11K

V2207

HCPCS Procedure Code

HCPCS code V2207 is the #3,386 most-billed Medicaid procedure code, with $1.8M in payments across 136K claims from 2018–2024. The national median cost per claim is $15.90. Costs vary widely — the 90th percentile is $41.47 per claim, 2.6× the median.

Total Paid

$1.8M

0.00% of all spending

Total Claims

136K

Providers

Avg Cost/Claim

$13

National Cost Distribution

How much do providers bill per claim for V2207? Based on 43 providers billing this code nationally.

Median

$15.90

Average

$22.00

Std Dev

$21.48

Max

$114.55

Percentile Distribution (Cost per Claim)

p10

$6.54

p25

$9.93

Median

$15.90

p75

$25.39

p90

$41.47

p95

$64.09

p99

$99.87

50% of providers bill between $9.93 and $25.39 per claim for this code.

90% bill between $6.54 and $41.47.

Top 1% bill above $99.87.

About This Procedure

HCPCS code V2207 was billed by 43 providers across 136K claims, totaling $1.8M in Medicaid payments from 2018–2024. This code was used for 119K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$15.90

Providers Billing

National Spending

$1.8M

Avg/Median Ratio

1.38×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2207

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$680K	$10.15	0.6× median	Below Median
2	1649487729	$268K	$21.22	1.3× median	Above Median
3	1588871669	$202K	$21.33	1.3× median	Above Median
4	1376576777	$122K	$8.99	0.6× median	Below Median
5	1518598952	$99K	$21.93	1.4× median	Above Median
6	1669470019	$87K	$24.59	1.5× median	Above Median
7	1407051279	$45K	$28.38	1.8× median	Above 75th
8	1417156589	$31K	$15.90	1.0× median	Above Median
9	1780896332	$30K	$13.57	0.9× median	Below Median
10	1386077832	$22K	$18.05	1.1× median	Above Median
11	1215009089	$21K	$29.80	1.9× median	Above 75th
12	1720033343	$20K	$12.76	0.8× median	Below Median
13	1578818290	$18K	$79.60	5.0× median	Top 10%
14	1295808012	$17K	$20.76	1.3× median	Above Median
15	1194879023	$15K	$11.90	0.7× median	Below Median
16	1063587780	$15K	$30.53	1.9× median	Above 75th
17	1043527690	$14K	$6.84	0.4× median	Below Median
18	1841523164	$12K	$26.20	1.6× median	Above 75th
19	1538292891	$12K	$21.64	1.4× median	Above Median
20	1174630677	$12K	$7.09	0.4× median	Below Median

Showing top 20 of 43 providers billing this code

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V2203$62.4M V2200$41.1M V2199$8.7M V2204$2.6M V2205$633K

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