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

#9458 of 11K

J1330

HCPCS Procedure Code

HCPCS code J1330 is the #9,458 most-billed Medicaid procedure code, with $6 in payments across 179 claims from 2018–2024. The national median cost per claim is $0.03.

Total Paid

$6

0.00% of all spending

Total Claims

179

Providers

1

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for J1330? Based on 1 providers billing this code nationally.

Median

$0.03

Average

$0.03

Std Dev

Max

$0.03

Percentile Distribution (Cost per Claim)

p10
$0.03
p25
$0.03
Median
$0.03
p75
$0.03
p90
$0.03
p95
$0.03
p99
$0.03

50% of providers bill between $0.03 and $0.03 per claim for this code.

90% bill between $0.03 and $0.03.

Top 1% bill above $0.03.

About This Procedure

HCPCS code J1330 was billed by 1 providers across 179 claims, totaling $6 in Medicaid payments from 2018–2024. This code was used for 179 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

$0.03

Providers Billing

1

National Spending

$6

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.

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