J2690
HCPCS Procedure Code
HCPCS code J2690 is the #7,436 most-billed Medicaid procedure code, with $18K in payments across 268 claims from 2018–2024. The national median cost per claim is $46.43.
Total Paid
$18K
0.00% of all spending
Total Claims
268
Providers
2
Avg Cost/Claim
$67
National Cost Distribution
How much do providers bill per claim for J2690? Based on 2 providers billing this code nationally.
Median
$46.43
Average
$46.43
Std Dev
$32.84
Max
$69.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $34.82 and $58.04 per claim for this code.
90% bill between $27.85 and $65.00.
Top 1% bill above $69.18.
About This Procedure
HCPCS code J2690 was billed by 2 providers across 268 claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 186 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
$46.43
Providers Billing
2
National Spending
$18K
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.