J9217
HCPCS Procedure Code
HCPCS code J9217 is the #1,579 most-billed Medicaid procedure code, with $18.6M in payments across 61K claims from 2018–2024. The national median cost per claim is $211.50. Costs vary widely — the 90th percentile is $499.38 per claim, 2.4× the median.
Total Paid
$18.6M
0.00% of all spending
Total Claims
61K
Providers
148
Avg Cost/Claim
$303
National Cost Distribution
How much do providers bill per claim for J9217? Based on 140 providers billing this code nationally.
Median
$211.50
Average
$277.26
Std Dev
$281.22
Max
$1,579.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $104.35 and $329.69 per claim for this code.
90% bill between $45.79 and $499.38.
Top 1% bill above $1,346.22.
About This Procedure
HCPCS code J9217 was billed by 148 providers across 61K claims, totaling $18.6M in Medicaid payments from 2018–2024. This code was used for 56K 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
$211.50
Providers Billing
140
National Spending
$18.6M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J9217
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $2.3M |
| 2 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.5M |
| 3 | Beth Israel Deaconess Medical Center, Inc. Boston, MA · General Acute Care Hospital | $1.0M |
| 4 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $977K |
| 5 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $933K |
| 6 | Mount Sinai Hospital New York, NY · Ambulance | $889K |
| 7 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $867K |
| 8 | 1295023547 | $628K |
| 9 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $600K |
| 10 | 1164493847 | $589K |
| 11 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $470K |
| 12 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $399K |
| 13 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $382K |
| 14 | 1427027416 | $358K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $330K |
| 16 | 1255644357 | $324K |
| 17 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $306K |
| 18 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $288K |
| 19 | 1770728438 | $278K |
| 20 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $271K |
Showing top 20 of 148 providers billing this code