J2800
HCPCS Procedure Code
HCPCS code J2800 is the #5,693 most-billed Medicaid procedure code, with $152K in payments across 55K claims from 2018–2024. The national median cost per claim is $2.71. Costs vary widely — the 90th percentile is $7.77 per claim, 2.9× the median.
Total Paid
$152K
0.00% of all spending
Total Claims
55K
Providers
116
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2800? Based on 83 providers billing this code nationally.
Median
$2.71
Average
$4.33
Std Dev
$6.50
Max
$36.48
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.78 and $4.91 per claim for this code.
90% bill between $0.10 and $7.77.
Top 1% bill above $35.40.
About This Procedure
HCPCS code J2800 was billed by 116 providers across 55K claims, totaling $152K in Medicaid payments from 2018–2024. This code was used for 41K 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
$2.71
Providers Billing
83
National Spending
$152K
Avg/Median Ratio
1.60×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J2800
| # | Provider | Total Paid |
|---|---|---|
| 1 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $18K |
| 2 | 1740208081 | $11K |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $8K |
| 4 | Orlando Health Inc. Orlando, FL · General Acute Care Hospital | $8K |
| 5 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $7K |
| 6 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $6K |
| 7 | 1417947490 | $5K |
| 8 | Bethesda Hospital Inc Cincinnati, OH · General Acute Care Hospital | $5K |
| 9 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $5K |
| 10 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $5K |
| 11 | 1851785406 | $5K |
| 12 | 1437156346 | $5K |
| 13 | 1609830173 | $4K |
| 14 | 1871547703 | $4K |
| 15 | 1780633289 | $4K |
| 16 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $3K |
| 17 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $3K |
| 18 | The Good Samaritan Hospital Of Cincinnati, Ohio Cincinnati, OH · General Acute Care Hospital | $3K |
| 19 | 1043233984 | $3K |
| 20 | 1851549273 | $3K |
Showing top 20 of 116 providers billing this code