J0256
Injection, alpha one proteinase inhibitor, ten milligrams
Injection, alpha one proteinase inhibitor, ten milligrams is the #1,133 most-billed Medicaid procedure code, with $38.6M in payments across 16K claims from 2018–2024. The national median cost per claim is $2,388.81.
Total Paid
$38.6M
0.00% of all spending
Total Claims
16K
Providers
1
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J0256? Based on 1 providers billing this code nationally.
Median
$2,388.81
Average
$2,388.81
Std Dev
—
Max
$2,388.81
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,388.81 and $2,388.81 per claim for this code.
90% bill between $2,388.81 and $2,388.81.
Top 1% bill above $2,388.81.
About This Procedure
HCPCS code J0256 (Injection, alpha one proteinase inhibitor, ten milligrams) was billed by 1 providers across 16K claims, totaling $38.6M in Medicaid payments from 2018–2024. This code was used for 4,015 unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$2,388.81
Providers Billing
1
National Spending
$38.6M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.