V5299
HCPCS Procedure Code
HCPCS code V5299 is the #2,996 most-billed Medicaid procedure code, with $2.8M in payments across 43K claims from 2018–2024. The national median cost per claim is $17.60. Costs vary widely — the 90th percentile is $108.81 per claim, 6.2× the median.
Total Paid
$2.8M
0.00% of all spending
Total Claims
43K
Providers
45
Avg Cost/Claim
$66
National Cost Distribution
How much do providers bill per claim for V5299? Based on 37 providers billing this code nationally.
Median
$17.60
Average
$45.14
Std Dev
$77.24
Max
$292.17
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.92 and $27.96 per claim for this code.
90% bill between $1.84 and $108.81.
Top 1% bill above $290.04.
About This Procedure
HCPCS code V5299 was billed by 45 providers across 43K claims, totaling $2.8M in Medicaid payments from 2018–2024. This code was used for 37K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$17.60
Providers Billing
37
National Spending
$2.8M
Avg/Median Ratio
2.56×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for V5299
| # | Provider | Total Paid |
|---|---|---|
| 1 | Whybee Brooklyn, NY · Case Management | $2.5M |
| 2 | 1386714228 | $78K |
| 3 | The Board Of Education Of The City Of Chicago Chicago, IL · Local Education Agency (LEA) | $66K |
| 4 | 1245302629 | $39K |
| 5 | 1104132224 | $26K |
| 6 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $22K |
| 7 | 1205840857 | $20K |
| 8 | 1164904793 | $9K |
| 9 | 1295277382 | $9K |
| 10 | 1215368212 | $7K |
| 11 | 1033585302 | $7K |
| 12 | 1639770183 | $5K |
| 13 | Total Longterm Care Inc. Aurora, CO · PACE Provider Organization | $4K |
| 14 | 1689605016 | $4K |
| 15 | 1336515683 | $3K |
| 16 | 1689849200 | $3K |
| 17 | 1699874719 | $3K |
| 18 | 1689754046 | $2K |
| 19 | 1598361891 | $2K |
| 20 | 1184220485 | $2K |
Showing top 20 of 45 providers billing this code