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

#2090 of 11K

J2001

Injection, lidocaine HCl for IV infusion

Injection, lidocaine HCl for IV infusion is the #2,090 most-billed Medicaid procedure code, with $9.2M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $0.22. Costs vary widely — the 90th percentile is $6.75 per claim, 30.7× the median.

Total Paid

$9.2M

0.00% of all spending

Total Claims

3.7M

Providers

2K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for J2001? Based on 2K providers billing this code nationally.

Median

$0.22

Average

$4.83

Std Dev

$29.92

Max

$674.64

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$0.22
p75
$1.91
p90
$6.75
p95
$14.71
p99
$77.20

50% of providers bill between $0.01 and $1.91 per claim for this code.

90% bill between $0.00 and $6.75.

Top 1% bill above $77.20.

About This Procedure

HCPCS code J2001 (Injection, lidocaine HCl for IV infusion) was billed by 2K providers across 3.7M claims, totaling $9.2M in Medicaid payments from 2018–2024. This code was used for 3.0M 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

$0.22

Providers Billing

2K

National Spending

$9.2M

Avg/Median Ratio

21.95×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J2001

#ProviderTotal Paid
1Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$1.3M
2Yukon-kuskokwim Health Corporation

Bethel, AK · General Acute Care Hospital Rural

$656K
31073518007$625K
41750332565$352K
51104221035$303K
61003067679$248K
71639124142$160K
8Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$160K
91588959084$126K
101124078696$120K
111235196510$104K
12Southern Baptist Hospital Of Florida Inc

Jacksonville, FL · General Acute Care Hospital

$98K
13West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$93K
141144211020$91K
15Providence Health & Services Washington

Anchorage, AK · General Acute Care Hospital

$89K
161184606600$78K
17Childrens Hospital Of Philadelphia

Philadelphia, PA · General Acute Care Hospital Children

$74K
181013332014$73K
191649688037$70K
20Bluefield Hospital Company Llc

Bluefield, WV · General Acute Care Hospital

$66K

Showing top 20 of 2K providers billing this code