J2305
HCPCS Procedure Code
HCPCS code J2305 is the #7,687 most-billed Medicaid procedure code, with $12K in payments across 9K claims from 2018–2024. The national median cost per claim is $0.52. Costs vary widely — the 90th percentile is $7.50 per claim, 14.4× the median.
Total Paid
$12K
0.00% of all spending
Total Claims
9K
Providers
96
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2305? Based on 52 providers billing this code nationally.
Median
$0.52
Average
$2.52
Std Dev
$3.71
Max
$16.16
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.14 and $3.58 per claim for this code.
90% bill between $0.02 and $7.50.
Top 1% bill above $15.17.
About This Procedure
HCPCS code J2305 was billed by 96 providers across 9K claims, totaling $12K in Medicaid payments from 2018–2024. This code was used for 8K 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
$0.52
Providers Billing
52
National Spending
$12K
Avg/Median Ratio
4.85×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2305
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1043293608 | $3K |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $2K |
| 3 | 1770581894 | $1K |
| 4 | Nyu Langone Hospitals Brooklyn, NY · General Acute Care Hospital | $935 |
| 5 | 1396087672 | $792 |
| 6 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $585 |
| 7 | Hmh Hospitals Corporation Edison, NJ · General Acute Care Hospital | $492 |
| 8 | 1821250762 | $414 |
| 9 | 1306914213 | $361 |
| 10 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $303 |
| 11 | 1679816201 | $271 |
| 12 | 1306281126 | $212 |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $199 |
| 14 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $191 |
| 15 | 1831188275 | $141 |
| 16 | Children's Hospital Corporation Boston, MA · Clinic/Center | $119 |
| 17 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $111 |
| 18 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $88 |
| 19 | 1639172372 | $85 |
| 20 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $83 |
Showing top 20 of 96 providers billing this code