J2471
HCPCS Procedure Code
HCPCS code J2471 is the #8,395 most-billed Medicaid procedure code, with $3K in payments across 3,690 claims from 2018–2024. The national median cost per claim is $0.72. Costs vary widely — the 90th percentile is $3.48 per claim, 4.8× the median.
Total Paid
$3K
0.00% of all spending
Total Claims
3,690
Providers
46
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2471? Based on 32 providers billing this code nationally.
Median
$0.72
Average
$1.23
Std Dev
$1.36
Max
$4.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.32 and $1.42 per claim for this code.
90% bill between $0.04 and $3.48.
Top 1% bill above $4.67.
About This Procedure
HCPCS code J2471 was billed by 46 providers across 3,690 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 2,580 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
$0.72
Providers Billing
32
National Spending
$3K
Avg/Median Ratio
1.71×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J2471
| # | Provider | Total Paid |
|---|---|---|
| 1 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $719 |
| 2 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $581 |
| 3 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $289 |
| 4 | 1821147786 | $252 |
| 5 | 1447231956 | $180 |
| 6 | 1366896300 | $167 |
| 7 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $155 |
| 8 | 1255387403 | $140 |
| 9 | 1902839673 | $124 |
| 10 | 1770581894 | $113 |
| 11 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $92 |
| 12 | Dayton Osteopathic Hospital Dayton, OH · General Acute Care Hospital | $88 |
| 13 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $46 |
| 14 | 1043215379 | $38 |
| 15 | 1215935366 | $37 |
| 16 | Clara Maass Medical Center Belleville, NJ · General Acute Care Hospital | $37 |
| 17 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $36 |
| 18 | 1215927470 | $33 |
| 19 | The Toledo Hospital Toledo, OH · Pediatrics | $29 |
| 20 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $23 |
Showing top 20 of 46 providers billing this code