J1951
HCPCS Procedure Code
HCPCS code J1951 is the #3,914 most-billed Medicaid procedure code, with $1.0M in payments across 64 claims from 2018–2024. The national median cost per claim is $15,927.12.
Total Paid
$1.0M
0.00% of all spending
Total Claims
64
Providers
1
Avg Cost/Claim
$16K
National Cost Distribution
How much do providers bill per claim for J1951? Based on 1 providers billing this code nationally.
Median
$15,927.12
Average
$15,927.12
Std Dev
—
Max
$15,927.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $15,927.12 and $15,927.12 per claim for this code.
90% bill between $15,927.12 and $15,927.12.
Top 1% bill above $15,927.12.
About This Procedure
HCPCS code J1951 was billed by 1 providers across 64 claims, totaling $1.0M in Medicaid payments from 2018–2024. This code was used for 40 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
$15,927.12
Providers Billing
1
National Spending
$1.0M
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.