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#1952 of 11K

V2799

HCPCS Procedure Code

HCPCS code V2799 is the #1,952 most-billed Medicaid procedure code, with $11.0M in payments across 362K claims from 2018–2024. The national median cost per claim is $8.94. Costs vary widely — the 90th percentile is $96.27 per claim, 10.8× the median.

Total Paid

$11.0M

0.00% of all spending

Total Claims

362K

Providers

705

Avg Cost/Claim

$30

National Cost Distribution

How much do providers bill per claim for V2799? Based on 436 providers billing this code nationally.

Median

$8.94

Average

$29.74

Std Dev

$67.29

Max

$487.32

Percentile Distribution (Cost per Claim)

p10
$0.51
p25
$3.54
Median
$8.94
p75
$14.69
p90
$96.27
p95
$100.00
p99
$404.61

50% of providers bill between $3.54 and $14.69 per claim for this code.

90% bill between $0.51 and $96.27.

Top 1% bill above $404.61.

About This Procedure

HCPCS code V2799 was billed by 705 providers across 362K claims, totaling $11.0M in Medicaid payments from 2018–2024. This code was used for 295K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$8.94

Providers Billing

436

National Spending

$11.0M

Avg/Median Ratio

3.33×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for V2799

#ProviderTotal Paid
11942644661$1.7M
21013056894$1.7M
31023146115$1.2M
4Classic Optical Laboratories, Inc.

Youngstown, OH · Technician/Technologist, Ocularist

$840K
5Rocky Mountain Human Services

Denver, CO · Respite Care

$541K
61144362922$519K
7Developmental Disabilities Center

Lafayette, CO · Day Training Developmentally Disabled Services

$425K
8North Metro Community Services Inc.

Westminster, CO · Day Training Developmentally Disabled Services

$395K
91376767442$346K
101386077832$285K
111992850689$272K
121225159502$220K
131780896332$212K
141053503912$144K
151689723462$141K
161235257924$125K
17Yale University

New Haven, CT · Internal Medicine

$121K
181043785363$93K
191790923605$84K
201083991566$77K

Showing top 20 of 705 providers billing this code

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