J1885
Injection, ketorolac tromethamine, fifteen milligrams
Injection, ketorolac tromethamine, fifteen milligrams is the #931 most-billed Medicaid procedure code, with $57.1M in payments across 24.7M claims from 2018–2024. The national median cost per claim is $0.91. Costs vary widely — the 90th percentile is $5.75 per claim, 6.3× the median.
Total Paid
$57.1M
0.01% of all spending
Total Claims
24.7M
Providers
8K
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J1885? Based on 7K providers billing this code nationally.
Median
$0.91
Average
$2.94
Std Dev
$11.55
Max
$466.11
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.22 and $2.08 per claim for this code.
90% bill between $0.03 and $5.75.
Top 1% bill above $31.35.
About This Procedure
HCPCS code J1885 (Injection, ketorolac tromethamine, fifteen milligrams) was billed by 8K providers across 24.7M claims, totaling $57.1M in Medicaid payments from 2018–2024. This code was used for 20.7M 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
$0.91
Providers Billing
7K
National Spending
$57.1M
Avg/Median Ratio
3.23×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1885
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $3.2M |
| 2 | 1376513754 | $1.9M |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $1.2M |
| 4 | Yukon-kuskokwim Health Corporation Bethel, AK · General Acute Care Hospital Rural | $847K |
| 5 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $798K |
| 6 | 1831188275 | $730K |
| 7 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $730K |
| 8 | 1144228446 | $719K |
| 9 | Childrens Hospital Of Philadelphia Philadelphia, PA · General Acute Care Hospital Children | $688K |
| 10 | 1013332014 | $462K |
| 11 | 1073518007 | $438K |
| 12 | 1386643294 | $436K |
| 13 | 1114367497 | $379K |
| 14 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $377K |
| 15 | 1417952748 | $370K |
| 16 | Mcallen Hospitals L P Edinburg, TX · General Acute Care Hospital | $340K |
| 17 | 1588959084 | $334K |
| 18 | Trinitas Regional Medical Center Elizabeth, NJ · General Acute Care Hospital | $319K |
| 19 | 1871556217 | $314K |
| 20 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $299K |
Showing top 20 of 8K providers billing this code