Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#9472 of 11K

J1890

HCPCS Procedure Code

HCPCS code J1890 is the #9,472 most-billed Medicaid procedure code, with $3 in payments across 14 claims from 2018–2024. The national median cost per claim is $0.22.

Total Paid

$3

0.00% of all spending

Total Claims

14

Providers

1

Avg Cost/Claim

$0

National Cost Distribution

How much do providers bill per claim for J1890? Based on 1 providers billing this code nationally.

Median

$0.22

Average

$0.22

Std Dev

Max

$0.22

Percentile Distribution (Cost per Claim)

p10
$0.22
p25
$0.22
Median
$0.22
p75
$0.22
p90
$0.22
p95
$0.22
p99
$0.22

50% of providers bill between $0.22 and $0.22 per claim for this code.

90% bill between $0.22 and $0.22.

Top 1% bill above $0.22.

About This Procedure

HCPCS code J1890 was billed by 1 providers across 14 claims, totaling $3 in Medicaid payments from 2018–2024. This code was used for 14 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

$0.22

Providers Billing

1

National Spending

$3

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.