J9394
HCPCS Procedure Code
HCPCS code J9394 is the #8,265 most-billed Medicaid procedure code, with $4K in payments across 175 claims from 2018–2024. The national median cost per claim is $43.01.
Total Paid
$4K
0.00% of all spending
Total Claims
175
Providers
4
Avg Cost/Claim
$25
National Cost Distribution
How much do providers bill per claim for J9394? Based on 4 providers billing this code nationally.
Median
$43.01
Average
$40.60
Std Dev
$32.85
Max
$76.39
Percentile Distribution (Cost per Claim)
50% of providers bill between $23.11 and $60.49 per claim for this code.
90% bill between $9.25 and $70.03.
Top 1% bill above $75.76.
About This Procedure
HCPCS code J9394 was billed by 4 providers across 175 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 134 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
$43.01
Providers Billing
4
National Spending
$4K
Avg/Median Ratio
0.94×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.