J2252
HCPCS Procedure Code
HCPCS code J2252 is the #8,365 most-billed Medicaid procedure code, with $3K in payments across 304 claims from 2018–2024. The national median cost per claim is $14.20.
Total Paid
$3K
0.00% of all spending
Total Claims
304
Providers
4
Avg Cost/Claim
$11
National Cost Distribution
How much do providers bill per claim for J2252? Based on 3 providers billing this code nationally.
Median
$14.20
Average
$10.81
Std Dev
$9.20
Max
$17.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.29 and $16.02 per claim for this code.
90% bill between $3.15 and $17.10.
Top 1% bill above $17.76.
About This Procedure
HCPCS code J2252 was billed by 4 providers across 304 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 288 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
$14.20
Providers Billing
3
National Spending
$3K
Avg/Median Ratio
0.76×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.