J1810
HCPCS Procedure Code
HCPCS code J1810 is the #8,567 most-billed Medicaid procedure code, with $2K in payments across 2,716 claims from 2018–2024. The national median cost per claim is $0.95.
Total Paid
$2K
0.00% of all spending
Total Claims
2,716
Providers
2
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J1810? Based on 2 providers billing this code nationally.
Median
$0.95
Average
$0.95
Std Dev
$0.25
Max
$1.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.86 and $1.03 per claim for this code.
90% bill between $0.81 and $1.09.
Top 1% bill above $1.12.
About This Procedure
HCPCS code J1810 was billed by 2 providers across 2,716 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 2,038 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
$0.95
Providers Billing
2
National Spending
$2K
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.