J3371
HCPCS Procedure Code
HCPCS code J3371 is the #7,384 most-billed Medicaid procedure code, with $19K in payments across 8K claims from 2018–2024. The national median cost per claim is $2.73. Costs vary widely — the 90th percentile is $9.99 per claim, 3.7× the median.
Total Paid
$19K
0.00% of all spending
Total Claims
8K
Providers
61
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J3371? Based on 37 providers billing this code nationally.
Median
$2.73
Average
$5.94
Std Dev
$11.57
Max
$70.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.12 and $7.14 per claim for this code.
90% bill between $0.15 and $9.99.
Top 1% bill above $49.70.
About This Procedure
HCPCS code J3371 was billed by 61 providers across 8K claims, totaling $19K in Medicaid payments from 2018–2024. This code was used for 5K 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
$2.73
Providers Billing
37
National Spending
$19K
Avg/Median Ratio
2.18×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3371
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $5K |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $2K |
| 3 | Kaiser Foundation Hospitals Downey, CA · General Acute Care Hospital | $2K |
| 4 | 1134274897 | $1K |
| 5 | 1306991211 | $1K |
| 6 | 1356496772 | $974 |
| 7 | Kaiser Foundation Hospitals Vallejo, CA · General Acute Care Hospital | $885 |
| 8 | University Hospital Newark, NJ · General Acute Care Hospital | $520 |
| 9 | Hmh Hospitals Corporation Neptune, NJ · General Acute Care Hospital | $514 |
| 10 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $490 |
| 11 | 1306914213 | $466 |
| 12 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $462 |
| 13 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $335 |
| 14 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $278 |
| 15 | The William W Backus Hospital Norwich, CT · Clinic/Center, Emergency Care | $265 |
| 16 | University Of California Irvine Orange, CA · General Acute Care Hospital | $252 |
| 17 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $205 |
| 18 | 1376698043 | $194 |
| 19 | Kaiser Foundation Hospitals Baldwin Park, CA · General Acute Care Hospital | $194 |
| 20 | 1073811378 | $191 |
Showing top 20 of 61 providers billing this code