J3430
HCPCS Procedure Code
HCPCS code J3430 is the #9,159 most-billed Medicaid procedure code, with $284 in payments across 129 claims from 2018–2024. The national median cost per claim is $3.83.
Total Paid
$284
0.00% of all spending
Total Claims
129
Providers
7
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J3430? Based on 4 providers billing this code nationally.
Median
$3.83
Average
$4.43
Std Dev
$2.56
Max
$7.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.56 and $5.70 per claim for this code.
90% bill between $2.37 and $6.96.
Top 1% bill above $7.72.
About This Procedure
HCPCS code J3430 was billed by 7 providers across 129 claims, totaling $284 in Medicaid payments from 2018–2024. This code was used for 102 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
$3.83
Providers Billing
4
National Spending
$284
Avg/Median Ratio
1.16×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3430
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1124141163 | $94 |
| 2 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $80 |
| 3 | 1609955103 | $79 |
| 4 | 1811231285 | $32 |
| 5 | 1487865184 | $0 |
| 6 | 1699986331 | $0 |
| 7 | Vanderbilt University Medical Center Nashville, TN · Psychiatric Unit | $0 |
Showing top 7 of 7 providers billing this code