J9354
HCPCS Procedure Code
HCPCS code J9354 is the #2,488 most-billed Medicaid procedure code, with $5.4M in payments across 1K claims from 2018–2024. The national median cost per claim is $3,182.82.
Total Paid
$5.4M
0.00% of all spending
Total Claims
1K
Providers
4
Avg Cost/Claim
$5K
National Cost Distribution
How much do providers bill per claim for J9354? Based on 4 providers billing this code nationally.
Median
$3,182.82
Average
$3,699.32
Std Dev
$2,138.73
Max
$6,719.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $2,634.38 and $4,247.76 per claim for this code.
90% bill between $2,080.88 and $5,730.95.
Top 1% bill above $6,620.87.
About This Procedure
HCPCS code J9354 was billed by 4 providers across 1K claims, totaling $5.4M in Medicaid payments from 2018–2024. This code was used for 560 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
$3,182.82
Providers Billing
4
National Spending
$5.4M
Avg/Median Ratio
1.16×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.