J2406
HCPCS Procedure Code
HCPCS code J2406 is the #5,082 most-billed Medicaid procedure code, with $299K in payments across 176 claims from 2018–2024. The national median cost per claim is $2,109.47.
Total Paid
$299K
0.00% of all spending
Total Claims
176
Providers
2
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J2406? Based on 2 providers billing this code nationally.
Median
$2,109.47
Average
$2,109.47
Std Dev
$1,607.35
Max
$3,246.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,541.18 and $2,677.75 per claim for this code.
90% bill between $1,200.21 and $3,018.72.
Top 1% bill above $3,223.30.
About This Procedure
HCPCS code J2406 was billed by 2 providers across 176 claims, totaling $299K in Medicaid payments from 2018–2024. This code was used for 145 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
$2,109.47
Providers Billing
2
National Spending
$299K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.