J0744
HCPCS Procedure Code
HCPCS code J0744 is the #5,792 most-billed Medicaid procedure code, with $137K in payments across 28K claims from 2018–2024. The national median cost per claim is $0.80. Costs vary widely — the 90th percentile is $8.95 per claim, 11.2× the median.
Total Paid
$137K
0.00% of all spending
Total Claims
28K
Providers
144
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J0744? Based on 90 providers billing this code nationally.
Median
$0.80
Average
$6.94
Std Dev
$27.80
Max
$227.46
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.11 and $3.50 per claim for this code.
90% bill between $0.03 and $8.95.
Top 1% bill above $142.49.
About This Procedure
HCPCS code J0744 was billed by 144 providers across 28K claims, totaling $137K in Medicaid payments from 2018–2024. This code was used for 20K 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
$0.80
Providers Billing
90
National Spending
$137K
Avg/Median Ratio
8.68×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0744
| # | Provider | Total Paid |
|---|---|---|
| 1 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $69K |
| 2 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $28K |
| 3 | Lexington Health Inc West Columbia, SC · General Acute Care Hospital | $11K |
| 4 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $7K |
| 5 | 1699704254 | $3K |
| 6 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $3K |
| 7 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $2K |
| 8 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $2K |
| 9 | 1427055821 | $1K |
| 10 | 1629007430 | $1K |
| 11 | 1699874248 | $1K |
| 12 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $1K |
| 13 | 1417919531 | $920 |
| 14 | 1073518007 | $775 |
| 15 | University Of California Irvine Orange, CA · General Acute Care Hospital | $652 |
| 16 | 1881632818 | $529 |
| 17 | 1740208081 | $503 |
| 18 | 1780667923 | $500 |
| 19 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $426 |
| 20 | 1316966518 | $324 |
Showing top 20 of 144 providers billing this code