J3031
HCPCS Procedure Code
HCPCS code J3031 is the #3,885 most-billed Medicaid procedure code, with $1.1M in payments across 1K claims from 2018–2024. The national median cost per claim is $655.12.
Total Paid
$1.1M
0.00% of all spending
Total Claims
1K
Providers
2
Avg Cost/Claim
$704
National Cost Distribution
How much do providers bill per claim for J3031? Based on 2 providers billing this code nationally.
Median
$655.12
Average
$655.12
Std Dev
$73.14
Max
$706.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $629.26 and $680.98 per claim for this code.
90% bill between $613.75 and $696.50.
Top 1% bill above $705.81.
About This Procedure
HCPCS code J3031 was billed by 2 providers across 1K claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 1K 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
$655.12
Providers Billing
2
National Spending
$1.1M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.