J1110
HCPCS Procedure Code
HCPCS code J1110 is the #7,757 most-billed Medicaid procedure code, with $11K in payments across 597 claims from 2018–2024. The national median cost per claim is $45.10. Costs vary widely — the 90th percentile is $104.01 per claim, 2.3× the median.
Total Paid
$11K
0.00% of all spending
Total Claims
597
Providers
5
Avg Cost/Claim
$18
National Cost Distribution
How much do providers bill per claim for J1110? Based on 4 providers billing this code nationally.
Median
$45.10
Average
$51.25
Std Dev
$55.54
Max
$112.67
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.34 and $91.01 per claim for this code.
90% bill between $3.42 and $104.01.
Top 1% bill above $111.80.
About This Procedure
HCPCS code J1110 was billed by 5 providers across 597 claims, totaling $11K in Medicaid payments from 2018–2024. This code was used for 420 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
$45.10
Providers Billing
4
National Spending
$11K
Avg/Median Ratio
1.14×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1110
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1689769572 | $7K |
| 2 | 1447311253 | $2K |
| 3 | 1871059774 | $948 |
| 4 | 1598053332 | $644 |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $0 |
Showing top 5 of 5 providers billing this code