J1599
HCPCS Procedure Code
HCPCS code J1599 is the #1,890 most-billed Medicaid procedure code, with $12.1M in payments across 4,839 claims from 2018–2024. The national median cost per claim is $5,475.32.
Total Paid
$12.1M
0.00% of all spending
Total Claims
4,839
Providers
2
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J1599? Based on 2 providers billing this code nationally.
Median
$5,475.32
Average
$5,475.32
Std Dev
$4,677.83
Max
$8,783.05
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,821.46 and $7,129.18 per claim for this code.
90% bill between $2,829.14 and $8,121.50.
Top 1% bill above $8,716.89.
About This Procedure
HCPCS code J1599 was billed by 2 providers across 4,839 claims, totaling $12.1M in Medicaid payments from 2018–2024. This code was used for 891 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
$5,475.32
Providers Billing
2
National Spending
$12.1M
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.