J0665
HCPCS Procedure Code
HCPCS code J0665 is the #3,950 most-billed Medicaid procedure code, with $985K in payments across 631K claims from 2018–2024. The national median cost per claim is $0.23. Costs vary widely — the 90th percentile is $6.36 per claim, 27.7× the median.
Total Paid
$985K
0.00% of all spending
Total Claims
631K
Providers
1,267
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J0665? Based on 896 providers billing this code nationally.
Median
$0.23
Average
$3.34
Std Dev
$16.04
Max
$284.23
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $1.82 per claim for this code.
90% bill between $0.01 and $6.36.
Top 1% bill above $48.25.
About This Procedure
HCPCS code J0665 was billed by 1,267 providers across 631K claims, totaling $985K in Medicaid payments from 2018–2024. This code was used for 518K 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
$0.23
Providers Billing
896
National Spending
$985K
Avg/Median Ratio
14.52×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0665
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689744450 | $120K |
| 2 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $55K |
| 3 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $39K |
| 4 | Southern Baptist Hospital Of Florida Inc Jacksonville, FL · General Acute Care Hospital Children | $34K |
| 5 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $32K |
| 6 | 1104856095 | $30K |
| 7 | 1386643294 | $30K |
| 8 | 1225450588 | $27K |
| 9 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $24K |
| 10 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $23K |
| 11 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $22K |
| 12 | 1821017880 | $21K |
| 13 | 1568460772 | $19K |
| 14 | 1881647204 | $18K |
| 15 | 1346244126 | $15K |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $13K |
| 17 | 1184654923 | $12K |
| 18 | 1447200233 | $11K |
| 19 | 1306871223 | $10K |
| 20 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $10K |
Showing top 20 of 1,267 providers billing this code