J2550
HCPCS Procedure Code
HCPCS code J2550 is the #3,085 most-billed Medicaid procedure code, with $2.5M in payments across 962K claims from 2018–2024. The national median cost per claim is $1.00. Costs vary widely — the 90th percentile is $7.43 per claim, 7.4× the median.
Total Paid
$2.5M
0.00% of all spending
Total Claims
962K
Providers
1,288
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2550? Based on 1,015 providers billing this code nationally.
Median
$1.00
Average
$4.28
Std Dev
$17.36
Max
$350.37
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.21 and $2.72 per claim for this code.
90% bill between $0.03 and $7.43.
Top 1% bill above $61.42.
About This Procedure
HCPCS code J2550 was billed by 1,288 providers across 962K claims, totaling $2.5M in Medicaid payments from 2018–2024. This code was used for 717K 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
$1.00
Providers Billing
1,015
National Spending
$2.5M
Avg/Median Ratio
4.28×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2550
| # | Provider | Total Paid |
|---|---|---|
| 1 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $258K |
| 2 | 1366481632 | $158K |
| 3 | 1871556217 | $151K |
| 4 | 1437622933 | $69K |
| 5 | 1184606600 | $59K |
| 6 | 1851309595 | $59K |
| 7 | 1255336517 | $48K |
| 8 | 1013950054 | $46K |
| 9 | 1275528614 | $43K |
| 10 | 1639124142 | $41K |
| 11 | 1558313213 | $38K |
| 12 | 1720537178 | $36K |
| 13 | 1043293608 | $33K |
| 14 | Bluefield Hospital Company Llc Bluefield, WV · General Acute Care Hospital | $32K |
| 15 | 1891722377 | $31K |
| 16 | 1285733790 | $28K |
| 17 | 1538141627 | $27K |
| 18 | 1063484483 | $27K |
| 19 | 1619038247 | $26K |
| 20 | 1922032424 | $26K |
Showing top 20 of 1,288 providers billing this code