J1201
HCPCS Procedure Code
HCPCS code J1201 is the #4,497 most-billed Medicaid procedure code, with $547K in payments across 638 claims from 2018–2024. The national median cost per claim is $857.49.
Total Paid
$547K
0.00% of all spending
Total Claims
638
Providers
1
Avg Cost/Claim
$857
National Cost Distribution
How much do providers bill per claim for J1201? Based on 1 providers billing this code nationally.
Median
$857.49
Average
$857.49
Std Dev
—
Max
$857.49
Percentile Distribution (Cost per Claim)
50% of providers bill between $857.49 and $857.49 per claim for this code.
90% bill between $857.49 and $857.49.
Top 1% bill above $857.49.
About This Procedure
HCPCS code J1201 was billed by 1 providers across 638 claims, totaling $547K in Medicaid payments from 2018–2024. This code was used for 382 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
$857.49
Providers Billing
1
National Spending
$547K
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.