J3241
HCPCS Procedure Code
HCPCS code J3241 is the #2,425 most-billed Medicaid procedure code, with $5.9M in payments across 370 claims from 2018–2024. The national median cost per claim is $20,286.67.
Total Paid
$5.9M
0.00% of all spending
Total Claims
370
Providers
3
Avg Cost/Claim
$16K
National Cost Distribution
How much do providers bill per claim for J3241? Based on 3 providers billing this code nationally.
Median
$20,286.67
Average
$21,838.62
Std Dev
$19,922.47
Max
$42,491.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $11,512.10 and $31,389.18 per claim for this code.
90% bill between $6,247.35 and $38,050.68.
Top 1% bill above $42,047.58.
About This Procedure
HCPCS code J3241 was billed by 3 providers across 370 claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 138 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
$20,286.67
Providers Billing
3
National Spending
$5.9M
Avg/Median Ratio
1.08×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.