J0739
HCPCS Procedure Code
HCPCS code J0739 is the #3,137 most-billed Medicaid procedure code, with $2.4M in payments across 1K claims from 2018–2024. The national median cost per claim is $3,408.09.
Total Paid
$2.4M
0.00% of all spending
Total Claims
1K
Providers
7
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J0739? Based on 6 providers billing this code nationally.
Median
$3,408.09
Average
$2,911.48
Std Dev
$1,468.99
Max
$3,869.01
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,027.00 and $3,764.37 per claim for this code.
90% bill between $1,463.49 and $3,862.87.
Top 1% bill above $3,868.40.
About This Procedure
HCPCS code J0739 was billed by 7 providers across 1K claims, totaling $2.4M in Medicaid payments from 2018–2024. This code was used for 1K 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
$3,408.09
Providers Billing
6
National Spending
$2.4M
Avg/Median Ratio
0.85×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J0739
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801495544 | $2.0M |
| 2 | 1861496358 | $140K |
| 3 | 1255523155 | $104K |
| 4 | 1306898432 | $88K |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $46K |
| 6 | 1912541061 | $15 |
| 7 | Los Angeles Lgbt Center Los Angeles, CA · Clinic/Center Federally Qualified Health Center (FQHC) | $0 |
Showing top 7 of 7 providers billing this code