J1650
HCPCS Procedure Code
HCPCS code J1650 is the #2,253 most-billed Medicaid procedure code, with $7.4M in payments across 2.3M claims from 2018–2024. The national median cost per claim is $1.38. Costs vary widely — the 90th percentile is $13.69 per claim, 9.9× the median.
Total Paid
$7.4M
0.00% of all spending
Total Claims
2.3M
Providers
1K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J1650? Based on 1K providers billing this code nationally.
Median
$1.38
Average
$6.14
Std Dev
$19.86
Max
$349.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.29 and $5.43 per claim for this code.
90% bill between $0.03 and $13.69.
Top 1% bill above $56.25.
About This Procedure
HCPCS code J1650 was billed by 1K providers across 2.3M claims, totaling $7.4M in Medicaid payments from 2018–2024. This code was used for 1.0M 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
$1.38
Providers Billing
1K
National Spending
$7.4M
Avg/Median Ratio
4.45×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1650
| # | Provider | Total Paid |
|---|---|---|
| 1 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $401K |
| 2 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $267K |
| 3 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $218K |
| 4 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $205K |
| 5 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $192K |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $170K |
| 7 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $154K |
| 8 | 1477549756 | $122K |
| 9 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $108K |
| 10 | 1134194038 | $103K |
| 11 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $96K |
| 12 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $95K |
| 13 | 1750332565 | $95K |
| 14 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $95K |
| 15 | 1114367497 | $92K |
| 16 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $88K |
| 17 | Southcoast Hospitals Group, Inc New Bedford, MA · General Acute Care Hospital | $85K |
| 18 | 1780667923 | $84K |
| 19 | North Shore Medical Center, Inc. Salem, MA · General Acute Care Hospital | $72K |
| 20 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $70K |
Showing top 20 of 1K providers billing this code