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#4597 of 11K

V2785

HCPCS Procedure Code

HCPCS code V2785 is the #4,597 most-billed Medicaid procedure code, with $496K in payments across 2K claims from 2018–2024. The national median cost per claim is $253.61. Costs vary widely — the 90th percentile is $1,531.49 per claim, 6.0× the median.

Total Paid

$496K

0.00% of all spending

Total Claims

2K

Providers

6

Avg Cost/Claim

$271

National Cost Distribution

How much do providers bill per claim for V2785? Based on 6 providers billing this code nationally.

Median

$253.61

Average

$603.37

Std Dev

$822.66

Max

$2,117.03

Percentile Distribution (Cost per Claim)

p10
$25.01
p25
$56.38
Median
$253.61
p75
$816.35
p90
$1,531.49
p95
$1,824.26
p99
$2,058.48

50% of providers bill between $56.38 and $816.35 per claim for this code.

90% bill between $25.01 and $1,531.49.

Top 1% bill above $2,058.48.

About This Procedure

HCPCS code V2785 was billed by 6 providers across 2K claims, totaling $496K in Medicaid payments from 2018–2024. This code was used for 1K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$253.61

Providers Billing

6

National Spending

$496K

Avg/Median Ratio

2.38×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for V2785

#ProviderTotal Paid
11396820007$379K
21609205731$64K
31295710002$25K
41245251222$24K
51679660617$4K
61639101751$36

Showing top 6 of 6 providers billing this code