J2941
HCPCS Procedure Code
HCPCS code J2941 is the #4,693 most-billed Medicaid procedure code, with $448K in payments across 15K claims from 2018–2024. The national median cost per claim is $163.62. Costs vary widely — the 90th percentile is $351.79 per claim, 2.2× the median.
Total Paid
$448K
0.00% of all spending
Total Claims
15K
Providers
10
Avg Cost/Claim
$31
National Cost Distribution
How much do providers bill per claim for J2941? Based on 6 providers billing this code nationally.
Median
$163.62
Average
$185.11
Std Dev
$163.24
Max
$426.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $46.61 and $275.38 per claim for this code.
90% bill between $39.92 and $351.79.
Top 1% bill above $419.39.
About This Procedure
HCPCS code J2941 was billed by 10 providers across 15K claims, totaling $448K in Medicaid payments from 2018–2024. This code was used for 7,088 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
$163.62
Providers Billing
6
National Spending
$448K
Avg/Median Ratio
1.13×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2941
| # | Provider | Total Paid |
|---|---|---|
| 1 | Optum Infusion Services 308 Llc Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy | $326K |
| 2 | 1992786495 | $89K |
| 3 | 1295746709 | $15K |
| 4 | 1215124797 | $15K |
| 5 | 1629116645 | $2K |
| 6 | 1942836424 | $741 |
| 7 | 1013919240 | $0 |
| 8 | 1619478047 | $0 |
| 9 | 1669617197 | $0 |
| 10 | 1982901195 | $0 |
Showing top 10 of 10 providers billing this code