J1741
HCPCS Procedure Code
HCPCS code J1741 is the #5,238 most-billed Medicaid procedure code, with $253K in payments across 18K claims from 2018–2024. The national median cost per claim is $5.80. Costs vary widely — the 90th percentile is $13.50 per claim, 2.3× the median.
Total Paid
$253K
0.00% of all spending
Total Claims
18K
Providers
46
Avg Cost/Claim
$14
National Cost Distribution
How much do providers bill per claim for J1741? Based on 30 providers billing this code nationally.
Median
$5.80
Average
$14.39
Std Dev
$37.26
Max
$199.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.80 and $7.72 per claim for this code.
90% bill between $0.98 and $13.50.
Top 1% bill above $161.32.
About This Procedure
HCPCS code J1741 was billed by 46 providers across 18K claims, totaling $253K in Medicaid payments from 2018–2024. This code was used for 17K 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
$5.80
Providers Billing
30
National Spending
$253K
Avg/Median Ratio
2.48×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1741
| # | Provider | Total Paid |
|---|---|---|
| 1 | Variety Children's Hospital Miami, FL · General Acute Care Hospital Children | $160K |
| 2 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $27K |
| 3 | 1104821305 | $22K |
| 4 | 1477522019 | $12K |
| 5 | 1942385794 | $7K |
| 6 | 1114367497 | $7K |
| 7 | 1356444814 | $4K |
| 8 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $3K |
| 9 | 1730692344 | $2K |
| 10 | New York City Health And Hospitals Corporation Brooklyn, NY · Internal Medicine | $1K |
| 11 | 1639179328 | $1K |
| 12 | Jamaica Hospital Richmond Hill, NY · General Acute Care Hospital | $1K |
| 13 | Newyork-presbyterian-queens Flushing, NY · General Acute Care Hospital | $834 |
| 14 | 1508859323 | $830 |
| 15 | Englewood Hospital And Medical Center Englewood, NJ · General Acute Care Hospital | $817 |
| 16 | 1760789903 | $787 |
| 17 | 1073553756 | $759 |
| 18 | 1720067127 | $519 |
| 19 | 1366850091 | $368 |
| 20 | 1902865355 | $343 |
Showing top 20 of 46 providers billing this code