J2788
HCPCS Procedure Code
HCPCS code J2788 is the #6,409 most-billed Medicaid procedure code, with $68K in payments across 2K claims from 2018–2024. The national median cost per claim is $26.98.
Total Paid
$68K
0.00% of all spending
Total Claims
2K
Providers
11
Avg Cost/Claim
$30
National Cost Distribution
How much do providers bill per claim for J2788? Based on 11 providers billing this code nationally.
Median
$26.98
Average
$25.24
Std Dev
$7.25
Max
$38.10
Percentile Distribution (Cost per Claim)
50% of providers bill between $21.60 and $28.88 per claim for this code.
90% bill between $18.75 and $30.05.
Top 1% bill above $37.30.
About This Procedure
HCPCS code J2788 was billed by 11 providers across 2K claims, totaling $68K in Medicaid payments from 2018–2024. This code was used for 2K 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
$26.98
Providers Billing
11
National Spending
$68K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2788
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1306909957 | $25K |
| 2 | 1821095779 | $22K |
| 3 | 1972556942 | $7K |
| 4 | 1033553847 | $3K |
| 5 | 1417959701 | $3K |
| 6 | 1326048182 | $2K |
| 7 | 1881755601 | $2K |
| 8 | 1245415314 | $2K |
| 9 | 1437282464 | $344 |
| 10 | 1073679254 | $294 |
| 11 | 1285701672 | $134 |
Showing top 11 of 11 providers billing this code