#3930 of 11K

J1442

Injection, filgrastim, one microgram

Injection, filgrastim, one microgram is the #3,930 most-billed Medicaid procedure code, with $1.0M in payments across 6K claims from 2018–2024. The national median cost per claim is $182.78. Costs vary widely — the 90th percentile is $1,001.25 per claim, 5.5× the median.

Total Paid

$1.0M

0.00% of all spending

Total Claims

Providers

Avg Cost/Claim

$162

National Cost Distribution

How much do providers bill per claim for J1442? Based on 13 providers billing this code nationally.

Median

$182.78

Average

$348.86

Std Dev

$490.30

Max

$1,657.55

Percentile Distribution (Cost per Claim)

p10

$45.16

p25

$70.45

Median

$182.78

p75

$247.74

p90

$1,001.25

p95

$1,350.89

p99

$1,596.22

50% of providers bill between $70.45 and $247.74 per claim for this code.

90% bill between $45.16 and $1,001.25.

Top 1% bill above $1,596.22.

About This Procedure

HCPCS code J1442 (Injection, filgrastim, one microgram) was billed by 13 providers across 6K claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 2K 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

$182.78

Providers Billing

National Spending

$1.0M

Avg/Median Ratio

1.91×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for J1442

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1164493847	$407K	$190.17	1.0× median	Above Median
2	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$222K	$219.21	1.2× median	Above Median
3	1831241033	$144K	$1,146.45	6.3× median	Top 10%
4	Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport	$72K	$39.52	0.2× median	Below Median
5	1679660617	$36K	$118.12	0.6× median	Below Median
6	1396087672	$33K	$247.74	1.4× median	Above Median
7	1003989831	$27K	$1,657.55	9.1× median	Top 1%
8	1457361271	$22K	$420.43	2.3× median	Above 75th
9	1033251780	$22K	$182.78	1.0× median	Above Median
10	Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy	$7K	$20.72	0.1× median	Below Median
11	1457409674	$6K	$154.33	0.8× median	Below Median
12	1427007848	$5K	$67.72	0.4× median	Below Median
13	Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology	$3K	$70.45	0.4× median	Below Median

Showing top 13 of 13 providers billing this code

Related Procedures

J1439$54.5M J1447$39.3M J1438$5.0M J1437$2.3M J1444$2.2M

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