Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8970 of 11K

J1450

HCPCS Procedure Code

HCPCS code J1450 is the #8,970 most-billed Medicaid procedure code, with $652 in payments across 443 claims from 2018–2024. The national median cost per claim is $1.61.

Total Paid

$652

0.00% of all spending

Total Claims

443

Providers

3

Avg Cost/Claim

$1

National Cost Distribution

How much do providers bill per claim for J1450? Based on 2 providers billing this code nationally.

Median

$1.61

Average

$1.61

Std Dev

$1.89

Max

$2.95

Percentile Distribution (Cost per Claim)

p10
$0.55
p25
$0.95
Median
$1.61
p75
$2.28
p90
$2.68
p95
$2.81
p99
$2.92

50% of providers bill between $0.95 and $2.28 per claim for this code.

90% bill between $0.55 and $2.68.

Top 1% bill above $2.92.

About This Procedure

HCPCS code J1450 was billed by 3 providers across 443 claims, totaling $652 in Medicaid payments from 2018–2024. This code was used for 391 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

$1.61

Providers Billing

2

National Spending

$652

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.