J0873
HCPCS Procedure Code
HCPCS code J0873 is the #7,416 most-billed Medicaid procedure code, with $18K in payments across 48 claims from 2018–2024. The national median cost per claim is $384.71.
Total Paid
$18K
0.00% of all spending
Total Claims
48
Providers
1
Avg Cost/Claim
$385
National Cost Distribution
How much do providers bill per claim for J0873? Based on 1 providers billing this code nationally.
Median
$384.71
Average
$384.71
Std Dev
—
Max
$384.71
Percentile Distribution (Cost per Claim)
50% of providers bill between $384.71 and $384.71 per claim for this code.
90% bill between $384.71 and $384.71.
Top 1% bill above $384.71.
About This Procedure
HCPCS code J0873 was billed by 1 providers across 48 claims, totaling $18K in Medicaid payments from 2018–2024. This code was used for 16 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
$384.71
Providers Billing
1
National Spending
$18K
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.