J0180
HCPCS Procedure Code
HCPCS code J0180 is the #3,863 most-billed Medicaid procedure code, with $1.1M in payments across 51 claims from 2018–2024. The national median cost per claim is $21,038.91.
Total Paid
$1.1M
0.00% of all spending
Total Claims
51
Providers
1
Avg Cost/Claim
$21K
National Cost Distribution
How much do providers bill per claim for J0180? Based on 1 providers billing this code nationally.
Median
$21,038.91
Average
$21,038.91
Std Dev
—
Max
$21,038.91
Percentile Distribution (Cost per Claim)
50% of providers bill between $21,038.91 and $21,038.91 per claim for this code.
90% bill between $21,038.91 and $21,038.91.
Top 1% bill above $21,038.91.
About This Procedure
HCPCS code J0180 was billed by 1 providers across 51 claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 36 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
$21,038.91
Providers Billing
1
National Spending
$1.1M
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.