Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#9945 of 11K

J1055

HCPCS Procedure Code

HCPCS code J1055 is the #9,945 most-billed Medicaid procedure code, with $0 in payments across 91 claims from 2018–2024.

Total Paid

$0

0.00% of all spending

Total Claims

91

Providers

2

Avg Cost/Claim

$0

About This Procedure

HCPCS code J1055 was billed by 2 providers across 91 claims, totaling $0 in Medicaid payments from 2018–2024. This code was used for 91 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

Providers Billing

2

National Spending

$0