J2430
HCPCS Procedure Code
HCPCS code J2430 is the #8,511 most-billed Medicaid procedure code, with $3K in payments across 209 claims from 2018–2024. The national median cost per claim is $20.39.
Total Paid
$3K
0.00% of all spending
Total Claims
209
Providers
4
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for J2430? Based on 3 providers billing this code nationally.
Median
$20.39
Average
$19.57
Std Dev
$14.88
Max
$34.03
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.34 and $27.21 per claim for this code.
90% bill between $7.51 and $31.30.
Top 1% bill above $33.76.
About This Procedure
HCPCS code J2430 was billed by 4 providers across 209 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 199 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
$20.39
Providers Billing
3
National Spending
$3K
Avg/Median Ratio
0.96×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.