J3304
HCPCS Procedure Code
HCPCS code J3304 is the #4,035 most-billed Medicaid procedure code, with $911K in payments across 4K claims from 2018–2024. The national median cost per claim is $252.02.
Total Paid
$911K
0.00% of all spending
Total Claims
4K
Providers
22
Avg Cost/Claim
$208
National Cost Distribution
How much do providers bill per claim for J3304? Based on 21 providers billing this code nationally.
Median
$252.02
Average
$247.55
Std Dev
$162.06
Max
$575.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $104.43 and $346.18 per claim for this code.
90% bill between $70.66 and $401.69.
Top 1% bill above $567.76.
About This Procedure
HCPCS code J3304 was billed by 22 providers across 4K claims, totaling $911K in Medicaid payments from 2018–2024. This code was used for 4K 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
$252.02
Providers Billing
21
National Spending
$911K
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3304
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1740236728 | $193K |
| 2 | 1902092281 | $189K |
| 3 | 1356748685 | $79K |
| 4 | 1417919390 | $53K |
| 5 | 1780782540 | $51K |
| 6 | 1114961539 | $48K |
| 7 | 1649892225 | $47K |
| 8 | 1952688939 | $42K |
| 9 | 1093741464 | $39K |
| 10 | 1477648731 | $34K |
| 11 | 1831312461 | $28K |
| 12 | 1295393635 | $23K |
| 13 | 1558773770 | $20K |
| 14 | 1083185938 | $19K |
| 15 | 1679565063 | $18K |
| 16 | 1073518007 | $15K |
| 17 | 1437555299 | $5K |
| 18 | 1407805500 | $3K |
| 19 | 1639553506 | $3K |
| 20 | 1568415560 | $2K |
Showing top 20 of 22 providers billing this code