J0330
HCPCS Procedure Code
HCPCS code J0330 is the #2,557 most-billed Medicaid procedure code, with $5.0M in payments across 946K claims from 2018–2024. The national median cost per claim is $1.12. Costs vary widely — the 90th percentile is $16.86 per claim, 15.1× the median.
Total Paid
$5.0M
0.00% of all spending
Total Claims
946K
Providers
1K
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J0330? Based on 689 providers billing this code nationally.
Median
$1.12
Average
$6.95
Std Dev
$22.96
Max
$434.93
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $5.08 per claim for this code.
90% bill between $0.02 and $16.86.
Top 1% bill above $80.63.
About This Procedure
HCPCS code J0330 was billed by 1K providers across 946K claims, totaling $5.0M in Medicaid payments from 2018–2024. This code was used for 775K 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
$1.12
Providers Billing
689
National Spending
$5.0M
Avg/Median Ratio
6.21×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0330
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $1.6M |
| 2 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $294K |
| 3 | 1487734976 | $168K |
| 4 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $142K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $129K |
| 6 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $102K |
| 7 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $92K |
| 8 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $80K |
| 9 | 1821002007 | $80K |
| 10 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $79K |
| 11 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $74K |
| 12 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $74K |
| 13 | 1104856095 | $73K |
| 14 | 1639124142 | $67K |
| 15 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $64K |
| 16 | 1124078696 | $60K |
| 17 | 1619964806 | $51K |
| 18 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $43K |
| 19 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $40K |
| 20 | Community Hospital Of San Bernardino San Bernardino, CA · General Acute Care Hospital | $39K |
Showing top 20 of 1K providers billing this code