J0287
HCPCS Procedure Code
HCPCS code J0287 is the #6,960 most-billed Medicaid procedure code, with $35K in payments across 987 claims from 2018–2024. The national median cost per claim is $122.84.
Total Paid
$35K
0.00% of all spending
Total Claims
987
Providers
3
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for J0287? Based on 2 providers billing this code nationally.
Median
$122.84
Average
$122.84
Std Dev
$163.21
Max
$238.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.14 and $180.54 per claim for this code.
90% bill between $30.52 and $215.16.
Top 1% bill above $235.94.
About This Procedure
HCPCS code J0287 was billed by 3 providers across 987 claims, totaling $35K in Medicaid payments from 2018–2024. This code was used for 685 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
$122.84
Providers Billing
2
National Spending
$35K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.