J9071
HCPCS Procedure Code
HCPCS code J9071 is the #7,098 most-billed Medicaid procedure code, with $28K in payments across 149 claims from 2018–2024. The national median cost per claim is $268.93.
Total Paid
$28K
0.00% of all spending
Total Claims
149
Providers
2
Avg Cost/Claim
$190
National Cost Distribution
How much do providers bill per claim for J9071? Based on 2 providers billing this code nationally.
Median
$268.93
Average
$268.93
Std Dev
$302.50
Max
$482.83
Percentile Distribution (Cost per Claim)
50% of providers bill between $161.98 and $375.88 per claim for this code.
90% bill between $97.81 and $440.05.
Top 1% bill above $478.55.
About This Procedure
HCPCS code J9071 was billed by 2 providers across 149 claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 79 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
$268.93
Providers Billing
2
National Spending
$28K
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.