V2797
HCPCS Procedure Code
HCPCS code V2797 is the #2,398 most-billed Medicaid procedure code, with $6.1M in payments across 195K claims from 2018–2024. The national median cost per claim is $2.96. Costs vary widely — the 90th percentile is $40.31 per claim, 13.6× the median.
Total Paid
$6.1M
0.00% of all spending
Total Claims
195K
Providers
53
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for V2797? Based on 10 providers billing this code nationally.
Median
$2.96
Average
$9.82
Std Dev
$16.51
Max
$41.86
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.81 and $4.42 per claim for this code.
90% bill between $0.20 and $40.31.
Top 1% bill above $41.70.
About This Procedure
HCPCS code V2797 was billed by 53 providers across 195K claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 182K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$2.96
Providers Billing
10
National Spending
$6.1M
Avg/Median Ratio
3.32×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for V2797
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164588133 | $3.9M |
| 2 | 1861947111 | $2.1M |
| 3 | 1417436775 | $111K |
| 4 | Classic Optical Laboratories, Inc. Youngstown, OH · Technician/Technologist, Ocularist | $14K |
| 5 | 1437512100 | $733 |
| 6 | 1770640500 | $694 |
| 7 | 1750358826 | $280 |
| 8 | 1043527690 | $122 |
| 9 | 1831244953 | $95 |
| 10 | 1699811869 | $16 |
| 11 | 1619215647 | $0 |
| 12 | 1417390840 | $0 |
| 13 | 1720660459 | $0 |
| 14 | 1518549237 | $0 |
| 15 | 1982286605 | $0 |
| 16 | 1659631232 | $0 |
| 17 | 1376125096 | $0 |
| 18 | 1982667390 | $0 |
| 19 | 1710654355 | $0 |
| 20 | 1265890156 | $0 |
Showing top 20 of 53 providers billing this code