J1800
HCPCS Procedure Code
HCPCS code J1800 is the #9,360 most-billed Medicaid procedure code, with $58 in payments across 59 claims from 2018–2024. The national median cost per claim is $1.28.
Total Paid
$58
0.00% of all spending
Total Claims
59
Providers
2
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J1800? Based on 1 providers billing this code nationally.
Median
$1.28
Average
$1.28
Std Dev
—
Max
$1.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.28 and $1.28 per claim for this code.
90% bill between $1.28 and $1.28.
Top 1% bill above $1.28.
About This Procedure
HCPCS code J1800 was billed by 2 providers across 59 claims, totaling $58 in Medicaid payments from 2018–2024. This code was used for 54 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
$1.28
Providers Billing
1
National Spending
$58
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.