J3480
HCPCS Procedure Code
HCPCS code J3480 is the #3,033 most-billed Medicaid procedure code, with $2.7M in payments across 650K claims from 2018–2024. The national median cost per claim is $0.68. Costs vary widely — the 90th percentile is $10.74 per claim, 15.8× the median.
Total Paid
$2.7M
0.00% of all spending
Total Claims
650K
Providers
840
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J3480? Based on 627 providers billing this code nationally.
Median
$0.68
Average
$4.60
Std Dev
$13.81
Max
$206.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $3.23 per claim for this code.
90% bill between $0.02 and $10.74.
Top 1% bill above $57.33.
About This Procedure
HCPCS code J3480 was billed by 840 providers across 650K claims, totaling $2.7M in Medicaid payments from 2018–2024. This code was used for 397K 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
$0.68
Providers Billing
627
National Spending
$2.7M
Avg/Median Ratio
6.76×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3480
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $738K |
| 2 | Cook Children's Medical Center Fort Worth, TX · General Acute Care Hospital Children | $253K |
| 3 | 1144228446 | $126K |
| 4 | Spartanburg Medical Center Spartanburg, SC · Ambulance | $89K |
| 5 | 1528399193 | $67K |
| 6 | 1073518007 | $65K |
| 7 | Upmc Children's Hospital Of Pittsburgh Pittsburgh, PA · Clinic/Center | $57K |
| 8 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $46K |
| 9 | 1821147786 | $42K |
| 10 | 1417952748 | $42K |
| 11 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $42K |
| 12 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $41K |
| 13 | 1477671535 | $41K |
| 14 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $39K |
| 15 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $37K |
| 16 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $37K |
| 17 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $36K |
| 18 | 1700821808 | $36K |
| 19 | 1134152549 | $32K |
| 20 | 1619973542 | $29K |
Showing top 20 of 840 providers billing this code