J0885
HCPCS Procedure Code
HCPCS code J0885 is the #2,262 most-billed Medicaid procedure code, with $7.3M in payments across 88K claims from 2018–2024. The national median cost per claim is $67.33. Costs vary widely — the 90th percentile is $216.25 per claim, 3.2× the median.
Total Paid
$7.3M
0.00% of all spending
Total Claims
88K
Providers
126
Avg Cost/Claim
$83
National Cost Distribution
How much do providers bill per claim for J0885? Based on 118 providers billing this code nationally.
Median
$67.33
Average
$99.55
Std Dev
$128.57
Max
$1,131.84
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.90 and $120.09 per claim for this code.
90% bill between $16.12 and $216.25.
Top 1% bill above $446.64.
About This Procedure
HCPCS code J0885 was billed by 126 providers across 88K claims, totaling $7.3M in Medicaid payments from 2018–2024. This code was used for 29K 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
$67.33
Providers Billing
118
National Spending
$7.3M
Avg/Median Ratio
1.48×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J0885
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1013924372 | $1.3M |
| 2 | 1538214556 | $1.2M |
| 3 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $932K |
| 4 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $460K |
| 5 | 1780107797 | $401K |
| 6 | 1598202558 | $242K |
| 7 | The Queens Medical Center Honolulu, HI · Psychiatric Unit | $203K |
| 8 | 1598875460 | $157K |
| 9 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $141K |
| 10 | 1295023547 | $121K |
| 11 | 1770728438 | $102K |
| 12 | 1013981554 | $89K |
| 13 | 1326238742 | $84K |
| 14 | Keck Medical Center Of Usc Los Angeles, CA · General Acute Care Hospital | $81K |
| 15 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $70K |
| 16 | Southern California Permanente Medical Group Bellflower, CA · Health Maintenance Organization | $65K |
| 17 | 1871844522 | $65K |
| 18 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $62K |
| 19 | 1346394855 | $61K |
| 20 | 1235535204 | $56K |
Showing top 20 of 126 providers billing this code