J0134
HCPCS Procedure Code
HCPCS code J0134 is the #4,106 most-billed Medicaid procedure code, with $842K in payments across 164K claims from 2018–2024. The national median cost per claim is $1.93. Costs vary widely — the 90th percentile is $15.57 per claim, 8.1× the median.
Total Paid
$842K
0.00% of all spending
Total Claims
164K
Providers
313
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J0134? Based on 233 providers billing this code nationally.
Median
$1.93
Average
$8.39
Std Dev
$24.62
Max
$202.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.30 and $5.48 per claim for this code.
90% bill between $0.04 and $15.57.
Top 1% bill above $159.35.
About This Procedure
HCPCS code J0134 was billed by 313 providers across 164K claims, totaling $842K in Medicaid payments from 2018–2024. This code was used for 135K 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
$1.93
Providers Billing
233
National Spending
$842K
Avg/Median Ratio
4.35×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0134
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467459776 | $240K |
| 2 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $113K |
| 3 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $30K |
| 4 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $28K |
| 5 | 1134274897 | $26K |
| 6 | Alameda Health System Oakland, CA · General Acute Care Hospital | $25K |
| 7 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $25K |
| 8 | 1952723967 | $24K |
| 9 | 1144389941 | $17K |
| 10 | Children's Hospital & Research Center At Oakland Oakland, CA · General Acute Care Hospital | $16K |
| 11 | 1366446767 | $14K |
| 12 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $13K |
| 13 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $12K |
| 14 | University Hospital Newark, NJ · General Acute Care Hospital | $12K |
| 15 | 1407800436 | $11K |
| 16 | 1376698043 | $10K |
| 17 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $10K |
| 18 | Atlanticare Regional Medical Center Pomona, NJ · General Acute Care Hospital | $10K |
| 19 | The Lowell General Hospital Lowell, MA · Pharmacy, Institutional Pharmacy | $7K |
| 20 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $7K |
Showing top 20 of 313 providers billing this code