Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#9078 of 11K

J2440

HCPCS Procedure Code

HCPCS code J2440 is the #9,078 most-billed Medicaid procedure code, with $434 in payments across 64 claims from 2018–2024. The national median cost per claim is $13.56.

Total Paid

$434

0.00% of all spending

Total Claims

64

Providers

3

Avg Cost/Claim

$7

National Cost Distribution

How much do providers bill per claim for J2440? Based on 2 providers billing this code nationally.

Median

$13.56

Average

$13.56

Std Dev

$19.11

Max

$27.07

Percentile Distribution (Cost per Claim)

p10
$2.76
p25
$6.81
Median
$13.56
p75
$20.32
p90
$24.37
p95
$25.72
p99
$26.80

50% of providers bill between $6.81 and $20.32 per claim for this code.

90% bill between $2.76 and $24.37.

Top 1% bill above $26.80.

About This Procedure

HCPCS code J2440 was billed by 3 providers across 64 claims, totaling $434 in Medicaid payments from 2018–2024. This code was used for 64 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

$13.56

Providers Billing

2

National Spending

$434

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.

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