J1444
HCPCS Procedure Code
HCPCS code J1444 is the #3,231 most-billed Medicaid procedure code, with $2.2M in payments across 40K claims from 2018–2024. The national median cost per claim is $59.56. Costs vary widely — the 90th percentile is $166.93 per claim, 2.8× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
40K
Providers
13
Avg Cost/Claim
$54
National Cost Distribution
How much do providers bill per claim for J1444? Based on 6 providers billing this code nationally.
Median
$59.56
Average
$82.94
Std Dev
$68.62
Max
$167.62
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.11 and $141.14 per claim for this code.
90% bill between $22.33 and $166.93.
Top 1% bill above $167.55.
About This Procedure
HCPCS code J1444 was billed by 13 providers across 40K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 3K 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
$59.56
Providers Billing
6
National Spending
$2.2M
Avg/Median Ratio
1.39×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1444
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1366687055 | $803K |
| 2 | 1205140886 | $666K |
| 3 | 1942665807 | $563K |
| 4 | 1457891178 | $99K |
| 5 | 1093154916 | $35K |
| 6 | 1083612089 | $1K |
| 7 | 1023596863 | $0 |
| 8 | 1578641494 | $0 |
| 9 | 1467813758 | $0 |
| 10 | 1013915222 | $0 |
| 11 | 1528369212 | $0 |
| 12 | 1588001820 | $0 |
| 13 | 1114922416 | $0 |
Showing top 13 of 13 providers billing this code