J2470
HCPCS Procedure Code
HCPCS code J2470 is the #6,580 most-billed Medicaid procedure code, with $54K in payments across 51K claims from 2018–2024. The national median cost per claim is $0.86. Costs vary widely — the 90th percentile is $5.64 per claim, 6.6× the median.
Total Paid
$54K
0.00% of all spending
Total Claims
51K
Providers
522
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2470? Based on 277 providers billing this code nationally.
Median
$0.86
Average
$2.50
Std Dev
$5.40
Max
$61.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.27 and $3.29 per claim for this code.
90% bill between $0.09 and $5.64.
Top 1% bill above $20.89.
About This Procedure
HCPCS code J2470 was billed by 522 providers across 51K claims, totaling $54K in Medicaid payments from 2018–2024. This code was used for 36K 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
$0.86
Providers Billing
277
National Spending
$54K
Avg/Median Ratio
2.91×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2470
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1669424354 | $5K |
| 2 | 1891059127 | $3K |
| 3 | 1104856095 | $2K |
| 4 | 1043293608 | $2K |
| 5 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $1K |
| 6 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $1K |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $1K |
| 8 | 1295181477 | $1K |
| 9 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $1K |
| 10 | Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital | $1K |
| 11 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $935 |
| 12 | 1871547703 | $904 |
| 13 | 1447221742 | $866 |
| 14 | 1689761942 | $820 |
| 15 | 1114367497 | $745 |
| 16 | 1356496772 | $715 |
| 17 | 1245221050 | $692 |
| 18 | 1326107319 | $662 |
| 19 | 1639523004 | $638 |
| 20 | 1417947490 | $620 |
Showing top 20 of 522 providers billing this code