J3370
HCPCS Procedure Code
HCPCS code J3370 is the #2,393 most-billed Medicaid procedure code, with $6.1M in payments across 838K claims from 2018–2024. The national median cost per claim is $2.40. Costs vary widely — the 90th percentile is $26.14 per claim, 10.9× the median.
Total Paid
$6.1M
0.00% of all spending
Total Claims
838K
Providers
1K
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for J3370? Based on 812 providers billing this code nationally.
Median
$2.40
Average
$11.47
Std Dev
$28.68
Max
$317.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.28 and $8.85 per claim for this code.
90% bill between $0.05 and $26.14.
Top 1% bill above $165.13.
About This Procedure
HCPCS code J3370 was billed by 1K providers across 838K claims, totaling $6.1M in Medicaid payments from 2018–2024. This code was used for 479K 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
$2.40
Providers Billing
812
National Spending
$6.1M
Avg/Median Ratio
4.78×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3370
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1902182637 | $782K |
| 2 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $247K |
| 3 | 1073518007 | $240K |
| 4 | 1518036458 | $175K |
| 5 | 1831241033 | $158K |
| 6 | 1104856095 | $155K |
| 7 | 1568474716 | $138K |
| 8 | 1881915031 | $136K |
| 9 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $125K |
| 10 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $124K |
| 11 | 1114099488 | $122K |
| 12 | 1184606600 | $114K |
| 13 | 1619970845 | $107K |
| 14 | 1326279746 | $101K |
| 15 | 1477584993 | $88K |
| 16 | 1255336517 | $81K |
| 17 | 1457872632 | $80K |
| 18 | 1447268230 | $76K |
| 19 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $67K |
| 20 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $65K |
Showing top 20 of 1K providers billing this code