J2010
HCPCS Procedure Code
HCPCS code J2010 is the #5,159 most-billed Medicaid procedure code, with $273K in payments across 28K claims from 2018–2024. The national median cost per claim is $8.72.
Total Paid
$273K
0.00% of all spending
Total Claims
28K
Providers
83
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for J2010? Based on 70 providers billing this code nationally.
Median
$8.72
Average
$9.33
Std Dev
$6.66
Max
$41.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.90 and $12.79 per claim for this code.
90% bill between $2.44 and $16.70.
Top 1% bill above $28.65.
About This Procedure
HCPCS code J2010 was billed by 83 providers across 28K claims, totaling $273K in Medicaid payments from 2018–2024. This code was used for 24K 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
$8.72
Providers Billing
70
National Spending
$273K
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2010
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1346544376 | $159K |
| 2 | 1730555699 | $15K |
| 3 | 1568567345 | $11K |
| 4 | 1932664091 | $11K |
| 5 | 1639259534 | $10K |
| 6 | 1174512826 | $6K |
| 7 | 1528171758 | $6K |
| 8 | 1851701635 | $4K |
| 9 | 1508278177 | $4K |
| 10 | 1629219670 | $4K |
| 11 | 1396961322 | $3K |
| 12 | 1104922368 | $3K |
| 13 | 1306873500 | $3K |
| 14 | 1497893408 | $3K |
| 15 | 1730254350 | $2K |
| 16 | 1295023547 | $2K |
| 17 | 1376534529 | $2K |
| 18 | 1538656186 | $2K |
| 19 | 1902842941 | $2K |
| 20 | 1649265109 | $1K |
Showing top 20 of 83 providers billing this code