J9311
HCPCS Procedure Code
HCPCS code J9311 is the #3,272 most-billed Medicaid procedure code, with $2.1M in payments across 763 claims from 2018–2024. The national median cost per claim is $2,699.28.
Total Paid
$2.1M
0.00% of all spending
Total Claims
763
Providers
1
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J9311? Based on 1 providers billing this code nationally.
Median
$2,699.28
Average
$2,699.28
Std Dev
—
Max
$2,699.28
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,699.28 and $2,699.28 per claim for this code.
90% bill between $2,699.28 and $2,699.28.
Top 1% bill above $2,699.28.
About This Procedure
HCPCS code J9311 was billed by 1 providers across 763 claims, totaling $2.1M in Medicaid payments from 2018–2024. This code was used for 515 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
$2,699.28
Providers Billing
1
National Spending
$2.1M
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.