J9047
HCPCS Procedure Code
HCPCS code J9047 is the #4,064 most-billed Medicaid procedure code, with $877K in payments across 183 claims from 2018–2024. The national median cost per claim is $4,654.98.
Total Paid
$877K
0.00% of all spending
Total Claims
183
Providers
3
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for J9047? Based on 2 providers billing this code nationally.
Median
$4,654.98
Average
$4,654.98
Std Dev
$5,005.98
Max
$8,194.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,885.10 and $6,424.87 per claim for this code.
90% bill between $1,823.17 and $7,486.79.
Top 1% bill above $8,123.95.
About This Procedure
HCPCS code J9047 was billed by 3 providers across 183 claims, totaling $877K in Medicaid payments from 2018–2024. This code was used for 66 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
$4,654.98
Providers Billing
2
National Spending
$877K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.