J1190
HCPCS Procedure Code
HCPCS code J1190 is the #7,334 most-billed Medicaid procedure code, with $21K in payments across 20 claims from 2018–2024. The national median cost per claim is $1,033.11.
Total Paid
$21K
0.00% of all spending
Total Claims
20
Providers
1
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for J1190? Based on 1 providers billing this code nationally.
Median
$1,033.11
Average
$1,033.11
Std Dev
—
Max
$1,033.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,033.11 and $1,033.11 per claim for this code.
90% bill between $1,033.11 and $1,033.11.
Top 1% bill above $1,033.11.
About This Procedure
HCPCS code J1190 was billed by 1 providers across 20 claims, totaling $21K in Medicaid payments from 2018–2024. This code was used for 13 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
$1,033.11
Providers Billing
1
National Spending
$21K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.