J1120
HCPCS Procedure Code
HCPCS code J1120 is the #8,333 most-billed Medicaid procedure code, with $4K in payments across 446 claims from 2018–2024. The national median cost per claim is $15.23.
Total Paid
$4K
0.00% of all spending
Total Claims
446
Providers
4
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for J1120? Based on 4 providers billing this code nationally.
Median
$15.23
Average
$15.37
Std Dev
$7.08
Max
$24.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.49 and $18.11 per claim for this code.
90% bill between $9.12 and $21.72.
Top 1% bill above $23.89.
About This Procedure
HCPCS code J1120 was billed by 4 providers across 446 claims, totaling $4K in Medicaid payments from 2018–2024. This code was used for 344 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
$15.23
Providers Billing
4
National Spending
$4K
Avg/Median Ratio
1.01×
Normal distribution
Provider Coverage
We have 4 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.