J3380
HCPCS Procedure Code
HCPCS code J3380 is the #575 most-billed Medicaid procedure code, with $141.2M in payments across 40K claims from 2018–2024. The national median cost per claim is $4,027.41.
Total Paid
$141.2M
0.01% of all spending
Total Claims
40K
Providers
101
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J3380? Based on 94 providers billing this code nationally.
Median
$4,027.41
Average
$3,921.77
Std Dev
$1,972.17
Max
$9,592.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,347.03 and $5,267.85 per claim for this code.
90% bill between $1,202.41 and $6,443.93.
Top 1% bill above $7,720.73.
About This Procedure
HCPCS code J3380 was billed by 101 providers across 40K claims, totaling $141.2M in Medicaid payments from 2018–2024. This code was used for 33K 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
$4,027.41
Providers Billing
94
National Spending
$141.2M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3380
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235125717 | $10.2M |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $10.1M |
| 3 | 1265462659 | $8.8M |
| 4 | Connecticut Children's Medical Center Hartford, CT · General Acute Care Hospital, Children | $6.9M |
| 5 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $6.4M |
| 6 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $6.0M |
| 7 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $5.3M |
| 8 | Mainegeneral Medical Center Augusta, ME · General Acute Care Hospital | $4.9M |
| 9 | Mount Sinai Hospital New York, NY · Ambulance | $4.9M |
| 10 | 1053412643 | $4.3M |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $4.0M |
| 12 | 1114130291 | $3.7M |
| 13 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $3.7M |
| 14 | University Of Rochester Rochester, NY · General Acute Care Hospital | $3.4M |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3.4M |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $3.3M |
| 17 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $3.3M |
| 18 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $3.0M |
| 19 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $3.0M |
| 20 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $2.4M |
Showing top 20 of 101 providers billing this code