J1598
HCPCS Procedure Code
HCPCS code J1598 is the #8,817 most-billed Medicaid procedure code, with $1K in payments across 2,210 claims from 2018–2024. The national median cost per claim is $0.12. Costs vary widely — the 90th percentile is $3.91 per claim, 32.6× the median.
Total Paid
$1K
0.00% of all spending
Total Claims
2,210
Providers
23
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J1598? Based on 7 providers billing this code nationally.
Median
$0.12
Average
$1.32
Std Dev
$2.05
Max
$5.31
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.09 and $1.79 per claim for this code.
90% bill between $0.05 and $3.91.
Top 1% bill above $5.17.
About This Procedure
HCPCS code J1598 was billed by 23 providers across 2,210 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 1,981 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
$0.12
Providers Billing
7
National Spending
$1K
Avg/Median Ratio
11.00×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1598
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992701429 | $663 |
| 2 | 1437150984 | $235 |
| 3 | Mary Imogene Bassett Hospital Cooperstown, NY · General Acute Care Hospital, Rural | $137 |
| 4 | Summa Health System Akron, OH · General Acute Care Hospital | $11 |
| 5 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $8 |
| 6 | Mount Sinai Hospital New York, NY · Ambulance | $6 |
| 7 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $6 |
| 8 | 1689628232 | $0 |
| 9 | 1851361778 | $0 |
| 10 | 1689672693 | $0 |
| 11 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $0 |
| 12 | 1962464016 | $0 |
| 13 | 1134333206 | $0 |
| 14 | 1285715144 | $0 |
| 15 | 1245248939 | $0 |
| 16 | 1518912609 | $0 |
| 17 | 1487868097 | $0 |
| 18 | 1326043548 | $0 |
| 19 | 1154373843 | $0 |
| 20 | 1093713091 | $0 |
Showing top 20 of 23 providers billing this code