J2400
HCPCS Procedure Code
HCPCS code J2400 is the #6,254 most-billed Medicaid procedure code, with $80K in payments across 4K claims from 2018–2024. The national median cost per claim is $21.05. Costs vary widely — the 90th percentile is $87.09 per claim, 4.1× the median.
Total Paid
$80K
0.00% of all spending
Total Claims
4K
Providers
12
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for J2400? Based on 9 providers billing this code nationally.
Median
$21.05
Average
$43.32
Std Dev
$66.59
Max
$216.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.17 and $35.29 per claim for this code.
90% bill between $7.90 and $87.09.
Top 1% bill above $203.24.
About This Procedure
HCPCS code J2400 was billed by 12 providers across 4K claims, totaling $80K in Medicaid payments from 2018–2024. This code was used for 3K 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
$21.05
Providers Billing
9
National Spending
$80K
Avg/Median Ratio
2.06×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2400
| # | Provider | Total Paid |
|---|---|---|
| 1 | City & County Of San Francisco San Francisco, CA · Case Manager/Care Coordinator | $29K |
| 2 | 1316907322 | $27K |
| 3 | 1295726362 | $14K |
| 4 | University Of Colorado Hospital Authority Aurora, CO · General Acute Care Hospital | $3K |
| 5 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $2K |
| 6 | 1134108103 | $2K |
| 7 | 1689987166 | $2K |
| 8 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $713 |
| 9 | 1770586794 | $379 |
| 10 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $0 |
| 11 | 1528628633 | $0 |
| 12 | 1992394605 | $0 |
Showing top 12 of 12 providers billing this code