J2251
HCPCS Procedure Code
HCPCS code J2251 is the #9,414 most-billed Medicaid procedure code, with $20 in payments across 329 claims from 2018–2024. The national median cost per claim is $0.08.
Total Paid
$20
0.00% of all spending
Total Claims
329
Providers
3
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J2251? Based on 2 providers billing this code nationally.
Median
$0.08
Average
$0.08
Std Dev
$0.10
Max
$0.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.04 and $0.12 per claim for this code.
90% bill between $0.02 and $0.14.
Top 1% bill above $0.15.
About This Procedure
HCPCS code J2251 was billed by 3 providers across 329 claims, totaling $20 in Medicaid payments from 2018–2024. This code was used for 323 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
$0.08
Providers Billing
2
National Spending
$20
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.