Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#9114 of 11K

J1941

HCPCS Procedure Code

HCPCS code J1941 is the #9,114 most-billed Medicaid procedure code, with $355 in payments across 64 claims from 2018–2024. The national median cost per claim is $5.54.

Total Paid

$355

0.00% of all spending

Total Claims

64

Providers

1

Avg Cost/Claim

$6

National Cost Distribution

How much do providers bill per claim for J1941? Based on 1 providers billing this code nationally.

Median

$5.54

Average

$5.54

Std Dev

Max

$5.54

Percentile Distribution (Cost per Claim)

p10
$5.54
p25
$5.54
Median
$5.54
p75
$5.54
p90
$5.54
p95
$5.54
p99
$5.54

50% of providers bill between $5.54 and $5.54 per claim for this code.

90% bill between $5.54 and $5.54.

Top 1% bill above $5.54.

About This Procedure

HCPCS code J1941 was billed by 1 providers across 64 claims, totaling $355 in Medicaid payments from 2018–2024. This code was used for 24 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

$5.54

Providers Billing

1

National Spending

$355

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.