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#2397 of 11K

V5014

HCPCS Procedure Code

HCPCS code V5014 is the #2,397 most-billed Medicaid procedure code, with $6.1M in payments across 101K claims from 2018–2024. The national median cost per claim is $42.29. Costs vary widely — the 90th percentile is $237.61 per claim, 5.6× the median.

Total Paid

$6.1M

0.00% of all spending

Total Claims

101K

Providers

165

Avg Cost/Claim

$60

National Cost Distribution

How much do providers bill per claim for V5014? Based on 163 providers billing this code nationally.

Median

$42.29

Average

$88.32

Std Dev

$113.87

Max

$800.50

Percentile Distribution (Cost per Claim)

p10
$20.36
p25
$25.16
Median
$42.29
p75
$90.36
p90
$237.61
p95
$302.15
p99
$484.64

50% of providers bill between $25.16 and $90.36 per claim for this code.

90% bill between $20.36 and $237.61.

Top 1% bill above $484.64.

About This Procedure

HCPCS code V5014 was billed by 165 providers across 101K claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 86K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$42.29

Providers Billing

163

National Spending

$6.1M

Avg/Median Ratio

2.09×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for V5014

#ProviderTotal Paid
11760661052$666K
21295967552$569K
31760771349$294K
41013932557$293K
51295882603$222K
61336352269$209K
71164707998$187K
81639394117$156K
91124622675$150K
101093091662$143K
111679615439$139K
121134261050$118K
131336605757$114K
141649333584$112K
151962672444$104K
161760841191$103K
171902276892$101K
181417590076$100K
191932129848$98K
201962579516$96K

Showing top 20 of 165 providers billing this code