J1105
HCPCS Procedure Code
HCPCS code J1105 is the #8,872 most-billed Medicaid procedure code, with $915 in payments across 508 claims from 2018–2024. The national median cost per claim is $6.10.
Total Paid
$915
0.00% of all spending
Total Claims
508
Providers
4
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J1105? Based on 2 providers billing this code nationally.
Median
$6.10
Average
$6.10
Std Dev
$8.00
Max
$11.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.27 and $8.93 per claim for this code.
90% bill between $1.57 and $10.62.
Top 1% bill above $11.64.
About This Procedure
HCPCS code J1105 was billed by 4 providers across 508 claims, totaling $915 in Medicaid payments from 2018–2024. This code was used for 308 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
$6.10
Providers Billing
2
National Spending
$915
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.