J1435
HCPCS Procedure Code
HCPCS code J1435 is the #9,369 most-billed Medicaid procedure code, with $53 in payments across 24 claims from 2018–2024. The national median cost per claim is $2.21.
Total Paid
$53
0.00% of all spending
Total Claims
24
Providers
1
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J1435? Based on 1 providers billing this code nationally.
Median
$2.21
Average
$2.21
Std Dev
—
Max
$2.21
Percentile Distribution (Cost per Claim)
50% of providers bill between $2.21 and $2.21 per claim for this code.
90% bill between $2.21 and $2.21.
Top 1% bill above $2.21.
About This Procedure
HCPCS code J1435 was billed by 1 providers across 24 claims, totaling $53 in Medicaid payments from 2018–2024. This code was used for 24 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
$2.21
Providers Billing
1
National Spending
$53
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.