J2919
HCPCS Procedure Code
HCPCS code J2919 is the #4,425 most-billed Medicaid procedure code, with $598K in payments across 219K claims from 2018–2024. The national median cost per claim is $1.77. Costs vary widely — the 90th percentile is $12.04 per claim, 6.8× the median.
Total Paid
$598K
0.00% of all spending
Total Claims
219K
Providers
1K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2919? Based on 862 providers billing this code nationally.
Median
$1.77
Average
$5.93
Std Dev
$22.41
Max
$583.42
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.39 and $5.81 per claim for this code.
90% bill between $0.11 and $12.04.
Top 1% bill above $60.93.
About This Procedure
HCPCS code J2919 was billed by 1K providers across 219K claims, totaling $598K in Medicaid payments from 2018–2024. This code was used for 170K 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
$1.77
Providers Billing
862
National Spending
$598K
Avg/Median Ratio
3.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2919
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $23K |
| 2 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $22K |
| 3 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $20K |
| 4 | 1780614685 | $13K |
| 5 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $10K |
| 6 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $10K |
| 7 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $10K |
| 8 | North Carolina Baptist Hospital Winston Salem, NC · General Acute Care Hospital | $9K |
| 9 | 1518018191 | $8K |
| 10 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $8K |
| 11 | 1295181477 | $7K |
| 12 | 1639523004 | $7K |
| 13 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $6K |
| 14 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $6K |
| 15 | 1316938301 | $6K |
| 16 | 1811080526 | $6K |
| 17 | 1437230034 | $5K |
| 18 | 1689744450 | $5K |
| 19 | 1609869916 | $5K |
| 20 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $5K |
Showing top 20 of 1K providers billing this code