J2003
HCPCS Procedure Code
HCPCS code J2003 is the #5,680 most-billed Medicaid procedure code, with $156K in payments across 153K claims from 2018–2024. The national median cost per claim is $0.59. Costs vary widely — the 90th percentile is $8.47 per claim, 14.4× the median.
Total Paid
$156K
0.00% of all spending
Total Claims
153K
Providers
947
Avg Cost/Claim
$1
National Cost Distribution
How much do providers bill per claim for J2003? Based on 405 providers billing this code nationally.
Median
$0.59
Average
$5.85
Std Dev
$29.57
Max
$392.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.05 and $2.18 per claim for this code.
90% bill between $0.01 and $8.47.
Top 1% bill above $69.89.
About This Procedure
HCPCS code J2003 was billed by 947 providers across 153K claims, totaling $156K in Medicaid payments from 2018–2024. This code was used for 132K 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
$0.59
Providers Billing
405
National Spending
$156K
Avg/Median Ratio
9.92×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2003
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386643294 | $15K |
| 2 | 1013981554 | $11K |
| 3 | 1144227539 | $8K |
| 4 | Hennepin Healthcare System Inc Minneapolis, MN · General Acute Care Hospital | $7K |
| 5 | Southern California Permanente Medical Group Los Angeles, CA · Health Maintenance Organization | $6K |
| 6 | 1245221050 | $6K |
| 7 | 1457347239 | $6K |
| 8 | 1184654923 | $5K |
| 9 | 1568460772 | $5K |
| 10 | 1780614685 | $5K |
| 11 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $4K |
| 12 | 1104856095 | $3K |
| 13 | 1407813660 | $3K |
| 14 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $3K |
| 15 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $3K |
| 16 | Alameda Health System Oakland, CA · General Acute Care Hospital | $3K |
| 17 | 1477584993 | $2K |
| 18 | 1124078696 | $2K |
| 19 | 1144389941 | $2K |
| 20 | 1639523004 | $2K |
Showing top 20 of 947 providers billing this code