J8999
HCPCS Procedure Code
HCPCS code J8999 is the #9,438 most-billed Medicaid procedure code, with $14 in payments across 15 claims from 2018–2024. The national median cost per claim is $0.96.
Total Paid
$14
0.00% of all spending
Total Claims
15
Providers
1
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J8999? Based on 1 providers billing this code nationally.
Median
$0.96
Average
$0.96
Std Dev
—
Max
$0.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.96 and $0.96 per claim for this code.
90% bill between $0.96 and $0.96.
Top 1% bill above $0.96.
About This Procedure
HCPCS code J8999 was billed by 1 providers across 15 claims, totaling $14 in Medicaid payments from 2018–2024. This code was used for 13 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
$0.96
Providers Billing
1
National Spending
$14
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.