J9310
HCPCS Procedure Code
HCPCS code J9310 is the #1,716 most-billed Medicaid procedure code, with $15.5M in payments across 6K claims from 2018–2024. The national median cost per claim is $2,163.51. Costs vary widely — the 90th percentile is $4,370.64 per claim, 2.0× the median.
Total Paid
$15.5M
0.00% of all spending
Total Claims
6K
Providers
47
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J9310? Based on 45 providers billing this code nationally.
Median
$2,163.51
Average
$2,318.99
Std Dev
$1,656.37
Max
$7,865.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,000.49 and $3,261.23 per claim for this code.
90% bill between $534.12 and $4,370.64.
Top 1% bill above $6,687.20.
About This Procedure
HCPCS code J9310 was billed by 47 providers across 6K claims, totaling $15.5M in Medicaid payments from 2018–2024. This code was used for 3K 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
$2,163.51
Providers Billing
45
National Spending
$15.5M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J9310
| # | Provider | Total Paid |
|---|---|---|
| 1 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $2.7M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.6M |
| 3 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $1.4M |
| 4 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $816K |
| 5 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $699K |
| 6 | University Of California Irvine Orange, CA · General Acute Care Hospital | $662K |
| 7 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $653K |
| 8 | 1003989831 | $636K |
| 9 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $452K |
| 10 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $394K |
| 11 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $380K |
| 12 | 1306883228 | $373K |
| 13 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $331K |
| 14 | The Griffin Hospital Derby, CT · Clinic/Center, Emergency Care | $314K |
| 15 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $303K |
| 16 | State Of Connecticut Farmington, CT · Counselor, Professional | $262K |
| 17 | 1770586794 | $259K |
| 18 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $224K |
| 19 | 1144656364 | $213K |
| 20 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $209K |
Showing top 20 of 47 providers billing this code