J0270
HCPCS Procedure Code
HCPCS code J0270 is the #9,494 most-billed Medicaid procedure code, with $1 in payments across 61 claims from 2018–2024. The national median cost per claim is $0.03.
Total Paid
$1
0.00% of all spending
Total Claims
61
Providers
3
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J0270? Based on 1 providers billing this code nationally.
Median
$0.03
Average
$0.03
Std Dev
—
Max
$0.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $0.03 per claim for this code.
90% bill between $0.03 and $0.03.
Top 1% bill above $0.03.
About This Procedure
HCPCS code J0270 was billed by 3 providers across 61 claims, totaling $1 in Medicaid payments from 2018–2024. This code was used for 61 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
$0.03
Providers Billing
1
National Spending
$1
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.