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

#9312 of 11K

J2002

HCPCS Procedure Code

HCPCS code J2002 is the #9,312 most-billed Medicaid procedure code, with $97 in payments across 975 claims from 2018–2024. The national median cost per claim is $0.21. Costs vary widely — the 90th percentile is $3.81 per claim, 18.1× the median.

Total Paid

$97

0.00% of all spending

Total Claims

975

Providers

18

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for J2002? Based on 4 providers billing this code nationally.

Median

$0.21

Average

$1.42

Std Dev

$2.58

Max

$5.28

Percentile Distribution (Cost per Claim)

p10
$0.01
p25
$0.03
Median
$0.21
p75
$1.60
p90
$3.81
p95
$4.54
p99
$5.13

50% of providers bill between $0.03 and $1.60 per claim for this code.

90% bill between $0.01 and $3.81.

Top 1% bill above $5.13.

About This Procedure

HCPCS code J2002 was billed by 18 providers across 975 claims, totaling $97 in Medicaid payments from 2018–2024. This code was used for 893 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

$0.21

Providers Billing

4

National Spending

$97

Avg/Median Ratio

6.76×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J2002

#ProviderTotal Paid
11326061730$74
21841732898$19
31124596382$4
41013386143$0
51548260839$0
61902832306$0
71538127220$0
81518993880$0
9University Of Cincinnati Medical Center, Llc

Cincinnati, OH · General Acute Care Hospital

$0
101568416311$0
111760413777$0
12Rector & Visitors Of The University Of Virginia

Charlottesville, VA · General Acute Care Hospital

$0
131609104165$0
141891740585$0
151730106162$0
161740920909$0
17University Hospital

Newark, NJ · General Acute Care Hospital

$0
181740398890$0

Showing top 18 of 18 providers billing this code