J0400
HCPCS Procedure Code
HCPCS code J0400 is the #9,385 most-billed Medicaid procedure code, with $36 in payments across 210 claims from 2018–2024. The national median cost per claim is $0.45.
Total Paid
$36
0.00% of all spending
Total Claims
210
Providers
3
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J0400? Based on 1 providers billing this code nationally.
Median
$0.45
Average
$0.45
Std Dev
—
Max
$0.45
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.45 and $0.45 per claim for this code.
90% bill between $0.45 and $0.45.
Top 1% bill above $0.45.
About This Procedure
HCPCS code J0400 was billed by 3 providers across 210 claims, totaling $36 in Medicaid payments from 2018–2024. This code was used for 187 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
$0.45
Providers Billing
1
National Spending
$36
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.