J1740
HCPCS Procedure Code
HCPCS code J1740 is the #6,435 most-billed Medicaid procedure code, with $65K in payments across 2K claims from 2018–2024. The national median cost per claim is $38.68. Costs vary widely — the 90th percentile is $82.91 per claim, 2.1× the median.
Total Paid
$65K
0.00% of all spending
Total Claims
2K
Providers
8
Avg Cost/Claim
$35
National Cost Distribution
How much do providers bill per claim for J1740? Based on 5 providers billing this code nationally.
Median
$38.68
Average
$48.03
Std Dev
$35.82
Max
$107.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.68 and $45.64 per claim for this code.
90% bill between $21.49 and $82.91.
Top 1% bill above $105.28.
About This Procedure
HCPCS code J1740 was billed by 8 providers across 2K claims, totaling $65K 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
$38.68
Providers Billing
5
National Spending
$65K
Avg/Median Ratio
1.24×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1740
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1407805500 | $30K |
| 2 | 1528080637 | $26K |
| 3 | 1902092281 | $6K |
| 4 | 1013929918 | $2K |
| 5 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $546 |
| 6 | 1710913330 | $0 |
| 7 | 1962857896 | $0 |
| 8 | 1942267992 | $0 |
Showing top 8 of 8 providers billing this code