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#2513 of 11K

V5010

HCPCS Procedure Code

HCPCS code V5010 is the #2,513 most-billed Medicaid procedure code, with $5.2M in payments across 111K claims from 2018–2024. The national median cost per claim is $50.38.

Total Paid

$5.2M

0.00% of all spending

Total Claims

111K

Providers

169

Avg Cost/Claim

$47

National Cost Distribution

How much do providers bill per claim for V5010? Based on 160 providers billing this code nationally.

Median

$50.38

Average

$53.78

Std Dev

$50.97

Max

$425.77

Percentile Distribution (Cost per Claim)

p10
$19.27
p25
$35.96
Median
$50.38
p75
$54.54
p90
$74.68
p95
$89.98
p99
$326.62

50% of providers bill between $35.96 and $54.54 per claim for this code.

90% bill between $19.27 and $74.68.

Top 1% bill above $326.62.

About This Procedure

HCPCS code V5010 was billed by 169 providers across 111K claims, totaling $5.2M in Medicaid payments from 2018–2024. This code was used for 106K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$50.38

Providers Billing

160

National Spending

$5.2M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for V5010

#ProviderTotal Paid
11760783344$1.3M
21225070667$200K
31952777245$181K
41295882603$166K
51740647825$160K
61659681823$141K
71619252244$131K
81922207596$123K
91619518214$116K
101710936836$112K
111194136424$107K
121013932557$96K
131750621553$92K
141962448233$76K
151235463498$74K
161497863658$64K
171093091662$63K
181720151145$62K
191932129848$62K
201659300499$57K

Showing top 20 of 169 providers billing this code