J0895
HCPCS Procedure Code
HCPCS code J0895 is the #7,352 most-billed Medicaid procedure code, with $20K in payments across 293 claims from 2018–2024. The national median cost per claim is $60.57.
Total Paid
$20K
0.00% of all spending
Total Claims
293
Providers
3
Avg Cost/Claim
$69
National Cost Distribution
How much do providers bill per claim for J0895? Based on 3 providers billing this code nationally.
Median
$60.57
Average
$53.23
Std Dev
$48.18
Max
$97.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.19 and $78.94 per claim for this code.
90% bill between $13.56 and $89.97.
Top 1% bill above $96.58.
About This Procedure
HCPCS code J0895 was billed by 3 providers across 293 claims, totaling $20K in Medicaid payments from 2018–2024. This code was used for 61 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
$60.57
Providers Billing
3
National Spending
$20K
Avg/Median Ratio
0.88×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.