J0592
HCPCS Procedure Code
HCPCS code J0592 is the #4,209 most-billed Medicaid procedure code, with $754K in payments across 48K claims from 2018–2024. The national median cost per claim is $11.48. Costs vary widely — the 90th percentile is $31.30 per claim, 2.7× the median.
Total Paid
$754K
0.00% of all spending
Total Claims
48K
Providers
31
Avg Cost/Claim
$16
National Cost Distribution
How much do providers bill per claim for J0592? Based on 25 providers billing this code nationally.
Median
$11.48
Average
$18.72
Std Dev
$25.31
Max
$110.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.84 and $19.09 per claim for this code.
90% bill between $1.41 and $31.30.
Top 1% bill above $103.68.
About This Procedure
HCPCS code J0592 was billed by 31 providers across 48K claims, totaling $754K in Medicaid payments from 2018–2024. This code was used for 8K 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
$11.48
Providers Billing
25
National Spending
$754K
Avg/Median Ratio
1.63×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J0592
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1538180351 | $191K |
| 2 | 1659389021 | $131K |
| 3 | St Lukes Roosevelt Hospital Center New York, NY · Case Management | $113K |
| 4 | United Health Services Hospitals, Inc. Binghamton, NY · General Acute Care Hospital | $93K |
| 5 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $89K |
| 6 | 1558313213 | $29K |
| 7 | 1710951801 | $20K |
| 8 | Bluefield Hospital Company Llc Bluefield, WV · General Acute Care Hospital | $19K |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $18K |
| 10 | 1609805993 | $16K |
| 11 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $11K |
| 12 | Baptist Healthcare System Inc Corbin, KY · General Acute Care Hospital | $8K |
| 13 | 1326107319 | $6K |
| 14 | 1386772507 | $6K |
| 15 | 1538244918 | $2K |
| 16 | 1982013082 | $1K |
| 17 | 1992701429 | $611 |
| 18 | 1811213994 | $296 |
| 19 | 1407800436 | $154 |
| 20 | 1437156346 | $136 |
Showing top 20 of 31 providers billing this code