J2540
HCPCS Procedure Code
HCPCS code J2540 is the #8,949 most-billed Medicaid procedure code, with $696 in payments across 457 claims from 2018–2024. The national median cost per claim is $2.84.
Total Paid
$696
0.00% of all spending
Total Claims
457
Providers
4
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J2540? Based on 4 providers billing this code nationally.
Median
$2.84
Average
$2.87
Std Dev
$2.51
Max
$5.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.76 and $4.95 per claim for this code.
90% bill between $0.65 and $5.10.
Top 1% bill above $5.19.
About This Procedure
HCPCS code J2540 was billed by 4 providers across 457 claims, totaling $696 in Medicaid payments from 2018–2024. This code was used for 391 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
$2.84
Providers Billing
4
National Spending
$696
Avg/Median Ratio
1.01×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.