J2806
HCPCS Procedure Code
HCPCS code J2806 is the #8,269 most-billed Medicaid procedure code, with $4K in payments across 63 claims from 2018–2024. The national median cost per claim is $55.38.
Total Paid
$4K
0.00% of all spending
Total Claims
63
Providers
3
Avg Cost/Claim
$69
National Cost Distribution
How much do providers bill per claim for J2806? Based on 3 providers billing this code nationally.
Median
$55.38
Average
$67.91
Std Dev
$50.23
Max
$123.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $40.25 and $89.30 per claim for this code.
90% bill between $31.17 and $109.65.
Top 1% bill above $121.86.
About This Procedure
HCPCS code J2806 was billed by 3 providers across 63 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 61 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
$55.38
Providers Billing
3
National Spending
$4K
Avg/Median Ratio
1.23×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.