J2405
Injection, ondansetron HCl, per one milligram
Injection, ondansetron HCl, per one milligram is the #823 most-billed Medicaid procedure code, with $71.5M in payments across 26.9M claims from 2018–2024. The national median cost per claim is $0.58. Costs vary widely — the 90th percentile is $7.81 per claim, 13.5× the median.
Total Paid
$71.5M
0.01% of all spending
Total Claims
26.9M
Providers
4K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2405? Based on 4K providers billing this code nationally.
Median
$0.58
Average
$3.88
Std Dev
$15.25
Max
$293.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.08 and $2.67 per claim for this code.
90% bill between $0.01 and $7.81.
Top 1% bill above $45.59.
About This Procedure
HCPCS code J2405 (Injection, ondansetron HCl, per one milligram) was billed by 4K providers across 26.9M claims, totaling $71.5M in Medicaid payments from 2018–2024. This code was used for 21.5M 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
$0.58
Providers Billing
4K
National Spending
$71.5M
Avg/Median Ratio
6.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2405
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $3.3M |
| 2 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $2.3M |
| 3 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $1.7M |
| 4 | Optum Women's And Children's Health, Llc Marietta, GA · Home Health | $1.6M |
| 5 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $1.5M |
| 6 | 1871556217 | $1.1M |
| 7 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $1.1M |
| 8 | 1386643294 | $953K |
| 9 | 1073518007 | $799K |
| 10 | 1376513754 | $751K |
| 11 | 1013332014 | $666K |
| 12 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $592K |
| 13 | 1477584993 | $568K |
| 14 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $560K |
| 15 | University Hospital Newark, NJ · General Acute Care Hospital | $540K |
| 16 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $535K |
| 17 | 1114367497 | $491K |
| 18 | 1184606600 | $489K |
| 19 | Lee Memorial Health System Ft Myers, FL · General Acute Care Hospital | $486K |
| 20 | 1447539374 | $471K |
Showing top 20 of 4K providers billing this code