J2704
HCPCS Procedure Code
HCPCS code J2704 is the #1,051 most-billed Medicaid procedure code, with $45.8M in payments across 12.8M claims from 2018–2024. The national median cost per claim is $0.76. Costs vary widely — the 90th percentile is $12.85 per claim, 16.9× the median.
Total Paid
$45.8M
0.00% of all spending
Total Claims
12.8M
Providers
3K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J2704? Based on 3K providers billing this code nationally.
Median
$0.76
Average
$5.69
Std Dev
$17.90
Max
$260.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.08 and $4.22 per claim for this code.
90% bill between $0.01 and $12.85.
Top 1% bill above $73.75.
About This Procedure
HCPCS code J2704 was billed by 3K providers across 12.8M claims, totaling $45.8M in Medicaid payments from 2018–2024. This code was used for 10.1M 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
$0.76
Providers Billing
3K
National Spending
$45.8M
Avg/Median Ratio
7.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2704
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $3.4M |
| 2 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $2.1M |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $2.0M |
| 4 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $1.9M |
| 5 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $1.1M |
| 6 | 1073518007 | $915K |
| 7 | 1104856095 | $914K |
| 8 | 1073674040 | $669K |
| 9 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $651K |
| 10 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $612K |
| 11 | Children's Hospital Corporation Boston, MA · Clinic/Center | $565K |
| 12 | 1750332565 | $542K |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $437K |
| 14 | 1386643294 | $418K |
| 15 | 1871556217 | $396K |
| 16 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $373K |
| 17 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $369K |
| 18 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $350K |
| 19 | 1134152549 | $349K |
| 20 | 1891900635 | $334K |
Showing top 20 of 3K providers billing this code