J3411
HCPCS Procedure Code
HCPCS code J3411 is the #5,012 most-billed Medicaid procedure code, with $320K in payments across 175K claims from 2018–2024. The national median cost per claim is $1.52. Costs vary widely — the 90th percentile is $7.54 per claim, 5.0× the median.
Total Paid
$320K
0.00% of all spending
Total Claims
175K
Providers
415
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J3411? Based on 285 providers billing this code nationally.
Median
$1.52
Average
$3.67
Std Dev
$8.73
Max
$73.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.27 and $3.51 per claim for this code.
90% bill between $0.03 and $7.54.
Top 1% bill above $58.68.
About This Procedure
HCPCS code J3411 was billed by 415 providers across 175K claims, totaling $320K in Medicaid payments from 2018–2024. This code was used for 111K 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
$1.52
Providers Billing
285
National Spending
$320K
Avg/Median Ratio
2.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3411
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $34K |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $22K |
| 3 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $14K |
| 4 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $13K |
| 5 | 1720537178 | $11K |
| 6 | 1538244918 | $10K |
| 7 | 1396382685 | $10K |
| 8 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $8K |
| 9 | 1043293608 | $8K |
| 10 | 1467546135 | $7K |
| 11 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $7K |
| 12 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $7K |
| 13 | Dallas County Hospital District Dallas, TX · Clinic/Center, Ambulatory Surgical | $7K |
| 14 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $6K |
| 15 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $5K |
| 16 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $5K |
| 17 | 1265539498 | $5K |
| 18 | 1447457775 | $5K |
| 19 | 1417947490 | $4K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $4K |
Showing top 20 of 415 providers billing this code