J9250
HCPCS Procedure Code
HCPCS code J9250 is the #6,527 most-billed Medicaid procedure code, with $58K in payments across 47K claims from 2018–2024. The national median cost per claim is $1.35. Costs vary widely — the 90th percentile is $3.87 per claim, 2.9× the median.
Total Paid
$58K
0.00% of all spending
Total Claims
47K
Providers
59
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J9250? Based on 46 providers billing this code nationally.
Median
$1.35
Average
$2.04
Std Dev
$2.51
Max
$10.33
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.33 and $2.73 per claim for this code.
90% bill between $0.14 and $3.87.
Top 1% bill above $10.32.
About This Procedure
HCPCS code J9250 was billed by 59 providers across 47K claims, totaling $58K in Medicaid payments from 2018–2024. This code was used for 25K 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
$1.35
Providers Billing
46
National Spending
$58K
Avg/Median Ratio
1.51×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J9250
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $8K |
| 2 | 1245217751 | $7K |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $7K |
| 4 | Ihc Health Services, Inc. Salt Lake City, UT · Psychiatric Unit | $6K |
| 5 | 1508023763 | $6K |
| 6 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $5K |
| 7 | 1306952726 | $4K |
| 8 | 1033112230 | $3K |
| 9 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $2K |
| 10 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $1K |
| 11 | 1134176829 | $1K |
| 12 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $1K |
| 13 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $1K |
| 14 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $1K |
| 15 | 1427536325 | $560 |
| 16 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $546 |
| 17 | 1770586794 | $431 |
| 18 | 1245340231 | $374 |
| 19 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $353 |
| 20 | 1548315401 | $310 |
Showing top 20 of 59 providers billing this code