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

#5314 of 11K

J1944

HCPCS Procedure Code

HCPCS code J1944 is the #5,314 most-billed Medicaid procedure code, with $231K in payments across 2K claims from 2018–2024. The national median cost per claim is $724.96. Costs vary widely — the 90th percentile is $2,347.13 per claim, 3.2× the median.

Total Paid

$231K

0.00% of all spending

Total Claims

2K

Providers

13

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for J1944? Based on 6 providers billing this code nationally.

Median

$724.96

Average

$1,078.20

Std Dev

$1,091.35

Max

$2,869.07

Percentile Distribution (Cost per Claim)

p10
$162.50
p25
$226.59
Median
$724.96
p75
$1,640.75
p90
$2,347.13
p95
$2,608.10
p99
$2,816.87

50% of providers bill between $226.59 and $1,640.75 per claim for this code.

90% bill between $162.50 and $2,347.13.

Top 1% bill above $2,816.87.

About This Procedure

HCPCS code J1944 was billed by 13 providers across 2K claims, totaling $231K in Medicaid payments from 2018–2024. This code was used for 1K 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

$724.96

Providers Billing

6

National Spending

$231K

Avg/Median Ratio

1.49×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for J1944

#ProviderTotal Paid
1New York City Health And Hospitals Corporation

Brooklyn, NY · Internal Medicine

$73K
2Beth Israel Medical Center

Brooklyn, NY · Psychiatric Unit

$44K
3The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$43K
4Permanente Medical Group Inc

Stockton, CA · Anesthesiology

$37K
51376593442$23K
6New York City Health And Hospitals Corporation

Elmhurst, NY · Internal Medicine

$10K
71003410085$0
81477224137$0
91639176373$0
101043679327$0
111457610487$0
121588988257$0
131093213506$0

Showing top 13 of 13 providers billing this code