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

#1430 of 11K

J2270

Injection, morphine sulfate, up to ten milligrams

Injection, morphine sulfate, up to ten milligrams is the #1,430 most-billed Medicaid procedure code, with $23.6M in payments across 8.1M claims from 2018–2024. The national median cost per claim is $1.00. Costs vary widely — the 90th percentile is $8.37 per claim, 8.4× the median.

Total Paid

$23.6M

0.00% of all spending

Total Claims

8.1M

Providers

3K

Avg Cost/Claim

$3

National Cost Distribution

How much do providers bill per claim for J2270? Based on 2K providers billing this code nationally.

Median

$1.00

Average

$4.39

Std Dev

$18.36

Max

$492.46

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.21
Median
$1.00
p75
$3.19
p90
$8.37
p95
$13.47
p99
$58.20

50% of providers bill between $0.21 and $3.19 per claim for this code.

90% bill between $0.03 and $8.37.

Top 1% bill above $58.20.

About This Procedure

HCPCS code J2270 (Injection, morphine sulfate, up to ten milligrams) was billed by 3K providers across 8.1M claims, totaling $23.6M in Medicaid payments from 2018–2024. This code was used for 6.1M 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

$1.00

Providers Billing

2K

National Spending

$23.6M

Avg/Median Ratio

4.39×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J2270

#ProviderTotal Paid
1University Of Utah

Salt Lake City, UT · Clinic/Center, Dental

$1.0M
2Rhode Island Hospital

Providence, RI · General Acute Care Hospital

$933K
31831188275$725K
4The Miriam Hospital

Providence, RI · General Acute Care Hospital

$641K
5Carolinas Medical Center

Charlotte, NC · General Acute Care Hospital

$620K
61417432840$574K
71114367497$341K
81871556217$309K
9Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$282K
101396790325$229K
11Adventist Health System-sunbelt, Inc

Orlando, FL · Ambulance, Land Transport

$214K
121073518007$205K
131497792550$195K
141386643294$187K
15Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$187K
16West Virginia University Hospitals, Inc

Morgantown, WV · Clinical Medical Laboratory

$161K
171912964768$159K
181699129601$155K
19Texas Children's Hospital

Houston, TX · General Acute Care Hospital Children

$147K
20Antelope Valley Health Care District

Lancaster, CA · General Acute Care Hospital

$147K

Showing top 20 of 3K providers billing this code