J1439
HCPCS Procedure Code
HCPCS code J1439 is the #956 most-billed Medicaid procedure code, with $54.5M in payments across 119K claims from 2018–2024. The national median cost per claim is $477.34.
Total Paid
$54.5M
0.00% of all spending
Total Claims
119K
Providers
257
Avg Cost/Claim
$458
National Cost Distribution
How much do providers bill per claim for J1439? Based on 248 providers billing this code nationally.
Median
$477.34
Average
$485.92
Std Dev
$312.28
Max
$2,011.61
Percentile Distribution (Cost per Claim)
50% of providers bill between $259.01 and $671.67 per claim for this code.
90% bill between $70.68 and $816.97.
Top 1% bill above $1,348.80.
About This Procedure
HCPCS code J1439 was billed by 257 providers across 119K claims, totaling $54.5M in Medicaid payments from 2018–2024. This code was used for 77K 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
$477.34
Providers Billing
248
National Spending
$54.5M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1439
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1497737183 | $3.8M |
| 2 | The Hospital Of Central Connecticut At New Britain General And Bradley New Britain, CT · General Acute Care Hospital | $2.7M |
| 3 | 1326124819 | $2.5M |
| 4 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $2.3M |
| 5 | 1427069368 | $1.8M |
| 6 | Ahs Hospital Corp. Summit, NJ · General Acute Care Hospital | $1.6M |
| 7 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $1.5M |
| 8 | 1396794574 | $1.5M |
| 9 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $1.4M |
| 10 | 1073665360 | $1.2M |
| 11 | 1770690695 | $1.2M |
| 12 | 1326046467 | $1.1M |
| 13 | Svmc Holdings, Inc Bridgeport, CT · General Acute Care Hospital | $1.1M |
| 14 | County Of Ventura Ventura, CA · Clinic/Center, Emergency Care | $1.1M |
| 15 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.0M |
| 16 | 1437230034 | $909K |
| 17 | Hartford Hospital Hartford, CT · General Acute Care Hospital | $859K |
| 18 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $811K |
| 19 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $797K |
| 20 | 1528018389 | $760K |
Showing top 20 of 257 providers billing this code