J2371
HCPCS Procedure Code
HCPCS code J2371 is the #5,421 most-billed Medicaid procedure code, with $203K in payments across 220K claims from 2018–2024. The national median cost per claim is $0.27. Costs vary widely — the 90th percentile is $4.11 per claim, 15.2× the median.
Total Paid
$203K
0.00% of all spending
Total Claims
220K
Providers
538
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2371? Based on 262 providers billing this code nationally.
Median
$0.27
Average
$1.79
Std Dev
$7.84
Max
$111.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $1.10 per claim for this code.
90% bill between $0.00 and $4.11.
Top 1% bill above $15.84.
About This Procedure
HCPCS code J2371 was billed by 538 providers across 220K claims, totaling $203K in Medicaid payments from 2018–2024. This code was used for 166K 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
$0.27
Providers Billing
262
National Spending
$203K
Avg/Median Ratio
6.63×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2371
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Hospital Newark, NJ · General Acute Care Hospital | $63K |
| 2 | 1700886322 | $28K |
| 3 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $21K |
| 4 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $7K |
| 5 | 1043293608 | $6K |
| 6 | Mount Sinai Hospital New York, NY · Ambulance | $5K |
| 7 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $5K |
| 8 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $5K |
| 9 | 1104856095 | $4K |
| 10 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $3K |
| 11 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $3K |
| 12 | 1427055821 | $3K |
| 13 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $3K |
| 14 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3K |
| 15 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $2K |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $2K |
| 17 | 1215903018 | $2K |
| 18 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $2K |
| 19 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $1K |
| 20 | 1609858950 | $1K |
Showing top 20 of 538 providers billing this code