J1447
HCPCS Procedure Code
HCPCS code J1447 is the #1,122 most-billed Medicaid procedure code, with $39.3M in payments across 16K claims from 2018–2024. The national median cost per claim is $171.93. Costs vary widely — the 90th percentile is $2,372.88 per claim, 13.8× the median.
Total Paid
$39.3M
0.00% of all spending
Total Claims
16K
Providers
12
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J1447? Based on 12 providers billing this code nationally.
Median
$171.93
Average
$585.59
Std Dev
$1,018.55
Max
$2,908.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $122.69 and $213.41 per claim for this code.
90% bill between $115.57 and $2,372.88.
Top 1% bill above $2,875.93.
About This Procedure
HCPCS code J1447 was billed by 12 providers across 16K claims, totaling $39.3M 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
$171.93
Providers Billing
12
National Spending
$39.3M
Avg/Median Ratio
3.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1447
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740648856 | $39.0M |
| 2 | 1063500833 | $119K |
| 3 | 1164493847 | $55K |
| 4 | 1548261308 | $49K |
| 5 | Multicare Health System Tacoma, WA · Community/Behavioral Health | $32K |
| 6 | 1548361413 | $24K |
| 7 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $14K |
| 8 | 1376624981 | $6K |
| 9 | 1700821808 | $6K |
| 10 | 1518912609 | $5K |
| 11 | 1477549756 | $3K |
| 12 | 1427007848 | $2K |
Showing top 12 of 12 providers billing this code