J9060
HCPCS Procedure Code
HCPCS code J9060 is the #5,367 most-billed Medicaid procedure code, with $218K in payments across 22K claims from 2018–2024. The national median cost per claim is $13.42. Costs vary widely — the 90th percentile is $33.76 per claim, 2.5× the median.
Total Paid
$218K
0.00% of all spending
Total Claims
22K
Providers
58
Avg Cost/Claim
$10
National Cost Distribution
How much do providers bill per claim for J9060? Based on 41 providers billing this code nationally.
Median
$13.42
Average
$17.82
Std Dev
$18.60
Max
$112.26
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.22 and $20.61 per claim for this code.
90% bill between $3.22 and $33.76.
Top 1% bill above $84.49.
About This Procedure
HCPCS code J9060 was billed by 58 providers across 22K claims, totaling $218K in Medicaid payments from 2018–2024. This code was used for 9K 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
$13.42
Providers Billing
41
National Spending
$218K
Avg/Median Ratio
1.33×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J9060
| # | Provider | Total Paid |
|---|---|---|
| 1 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $32K |
| 2 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $27K |
| 3 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $17K |
| 4 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $16K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $16K |
| 6 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $15K |
| 7 | University Of California Irvine Orange, CA · General Acute Care Hospital | $15K |
| 8 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $10K |
| 9 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $9K |
| 10 | 1528018389 | $8K |
| 11 | 1003989831 | $8K |
| 12 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $4K |
| 13 | University Hospitals Cleveland Medical Center Cleveland, OH · General Acute Care Hospital | $4K |
| 14 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $4K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $4K |
| 16 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $4K |
| 17 | 1730209545 | $3K |
| 18 | 1437230034 | $3K |
| 19 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $3K |
| 20 | Upmc Magee-womens Hospital Pittsburgh, PA · General Acute Care Hospital | $2K |
Showing top 20 of 58 providers billing this code