J0741
HCPCS Procedure Code
HCPCS code J0741 is the #1,182 most-billed Medicaid procedure code, with $34.9M in payments across 14K claims from 2018–2024. The national median cost per claim is $1,261.25. Costs vary widely — the 90th percentile is $5,921.45 per claim, 4.7× the median.
Total Paid
$34.9M
0.00% of all spending
Total Claims
14K
Providers
65
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J0741? Based on 53 providers billing this code nationally.
Median
$1,261.25
Average
$2,476.81
Std Dev
$2,410.42
Max
$6,879.60
Percentile Distribution (Cost per Claim)
50% of providers bill between $144.32 and $4,679.40 per claim for this code.
90% bill between $1.25 and $5,921.45.
Top 1% bill above $6,763.48.
About This Procedure
HCPCS code J0741 was billed by 65 providers across 14K claims, totaling $34.9M in Medicaid payments from 2018–2024. This code was used for 12K 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
$1,261.25
Providers Billing
53
National Spending
$34.9M
Avg/Median Ratio
1.96×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J0741
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1801495544 | $11.0M |
| 2 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $7.9M |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4.3M |
| 4 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $2.6M |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $1.4M |
| 6 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $949K |
| 7 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $874K |
| 8 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $757K |
| 9 | 1699008649 | $708K |
| 10 | 1770796567 | $521K |
| 11 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $353K |
| 12 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $310K |
| 13 | Sage River Counseling Seattle, WA · Counselor Mental Health | $299K |
| 14 | 1699854950 | $297K |
| 15 | University Of Rochester Rochester, NY · General Acute Care Hospital | $284K |
| 16 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $264K |
| 17 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $217K |
| 18 | 1306898432 | $208K |
| 19 | 1861496358 | $184K |
| 20 | 1427536325 | $168K |
Showing top 20 of 65 providers billing this code