#3235 of 11K

V2219

HCPCS Procedure Code

HCPCS code V2219 is the #3,235 most-billed Medicaid procedure code, with $2.2M in payments across 38K claims from 2018–2024. The national median cost per claim is $77.75.

Total Paid

$2.2M

0.00% of all spending

Total Claims

38K

Providers

Avg Cost/Claim

$57

National Cost Distribution

How much do providers bill per claim for V2219? Based on 57 providers billing this code nationally.

Median

$77.75

Average

$67.04

Std Dev

$26.19

Max

$107.42

Percentile Distribution (Cost per Claim)

p10

$22.08

p25

$57.54

Median

$77.75

p75

$83.46

p90

$87.31

p95

$90.04

p99

$104.82

50% of providers bill between $57.54 and $83.46 per claim for this code.

90% bill between $22.08 and $87.31.

Top 1% bill above $104.82.

About This Procedure

HCPCS code V2219 was billed by 58 providers across 38K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 34K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$77.75

Providers Billing

National Spending

$2.2M

Avg/Median Ratio

0.86×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V2219

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1790923605	$314K	$86.85	1.1× median	Above 75th
2	1669407664	$216K	$31.76	0.4× median	Below Median
3	1649391285	$199K	$86.67	1.1× median	Above 75th
4	1508953225	$168K	$78.76	1.0× median	Above Median
5	1518205749	$119K	$75.46	1.0× median	Below Median
6	Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist	$108K	$17.52	0.2× median	Below Median
7	1316125594	$107K	$77.75	1.0× median	Below Median
8	1194037812	$89K	$75.48	1.0× median	Below Median
9	1205908555	$88K	$78.18	1.0× median	Above Median
10	1689044067	$82K	$63.15	0.8× median	Below Median
11	1952689366	$72K	$75.48	1.0× median	Below Median
12	1013192566	$70K	$102.78	1.3× median	Top 10%
13	1881853927	$66K	$80.70	1.0× median	Above Median
14	1750654265	$53K	$82.84	1.1× median	Above Median
15	1619226784	$51K	$82.52	1.1× median	Above Median
16	1114025822	$44K	$85.28	1.1× median	Above 75th
17	1538267109	$42K	$78.90	1.0× median	Above Median
18	1629486600	$35K	$76.09	1.0× median	Below Median
19	1033163597	$34K	$25.69	0.3× median	Below Median
20	1922369131	$25K	$75.96	1.0× median	Below Median

Showing top 20 of 58 providers billing this code

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V2211$320K V2220$220K V2210$94K V2212$62K V2214$52K

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