J9049
HCPCS Procedure Code
HCPCS code J9049 is the #6,151 most-billed Medicaid procedure code, with $90K in payments across 504 claims from 2018–2024. The national median cost per claim is $190.02.
Total Paid
$90K
0.00% of all spending
Total Claims
504
Providers
2
Avg Cost/Claim
$179
National Cost Distribution
How much do providers bill per claim for J9049? Based on 1 providers billing this code nationally.
Median
$190.02
Average
$190.02
Std Dev
—
Max
$190.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $190.02 and $190.02 per claim for this code.
90% bill between $190.02 and $190.02.
Top 1% bill above $190.02.
About This Procedure
HCPCS code J9049 was billed by 2 providers across 504 claims, totaling $90K in Medicaid payments from 2018–2024. This code was used for 360 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
$190.02
Providers Billing
1
National Spending
$90K
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.