J3246
HCPCS Procedure Code
HCPCS code J3246 is the #8,612 most-billed Medicaid procedure code, with $2K in payments across 141 claims from 2018–2024. The national median cost per claim is $13.87.
Total Paid
$2K
0.00% of all spending
Total Claims
141
Providers
1
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for J3246? Based on 1 providers billing this code nationally.
Median
$13.87
Average
$13.87
Std Dev
—
Max
$13.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $13.87 and $13.87 per claim for this code.
90% bill between $13.87 and $13.87.
Top 1% bill above $13.87.
About This Procedure
HCPCS code J3246 was billed by 1 providers across 141 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 104 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
$13.87
Providers Billing
1
National Spending
$2K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.