J1449
HCPCS Procedure Code
HCPCS code J1449 is the #5,167 most-billed Medicaid procedure code, with $271K in payments across 235 claims from 2018–2024. The national median cost per claim is $1,892.67.
Total Paid
$271K
0.00% of all spending
Total Claims
235
Providers
2
Avg Cost/Claim
$1K
National Cost Distribution
How much do providers bill per claim for J1449? Based on 2 providers billing this code nationally.
Median
$1,892.67
Average
$1,892.67
Std Dev
$2,383.83
Max
$3,578.30
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,049.86 and $2,735.48 per claim for this code.
90% bill between $544.17 and $3,241.17.
Top 1% bill above $3,544.59.
About This Procedure
HCPCS code J1449 was billed by 2 providers across 235 claims, totaling $271K in Medicaid payments from 2018–2024. This code was used for 203 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
$1,892.67
Providers Billing
2
National Spending
$271K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.