J3230
HCPCS Procedure Code
HCPCS code J3230 is the #8,226 most-billed Medicaid procedure code, with $5K in payments across 502 claims from 2018–2024. The national median cost per claim is $12.61.
Total Paid
$5K
0.00% of all spending
Total Claims
502
Providers
9
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for J3230? Based on 6 providers billing this code nationally.
Median
$12.61
Average
$12.51
Std Dev
$6.71
Max
$24.19
Percentile Distribution (Cost per Claim)
50% of providers bill between $7.76 and $13.64 per claim for this code.
90% bill between $5.96 and $18.96.
Top 1% bill above $23.67.
About This Procedure
HCPCS code J3230 was billed by 9 providers across 502 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 428 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
$12.61
Providers Billing
6
National Spending
$5K
Avg/Median Ratio
0.99×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3230
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1447230388 | $3K |
| 2 | New York City Health And Hospitals Corporation Bronx, NY · Internal Medicine | $486 |
| 3 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $435 |
| 4 | 1891892741 | $387 |
| 5 | 1770586794 | $154 |
| 6 | New York City Health And Hospitals Corporation Elmhurst, NY · Internal Medicine | $96 |
| 7 | 1770674350 | $0 |
| 8 | 1144210253 | $0 |
| 9 | 1538245634 | $0 |
Showing top 9 of 9 providers billing this code