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

#7226 of 11K

J2248

HCPCS Procedure Code

HCPCS code J2248 is the #7,226 most-billed Medicaid procedure code, with $24K in payments across 402 claims from 2018–2024. The national median cost per claim is $184.15.

Total Paid

$24K

0.00% of all spending

Total Claims

402

Providers

2

Avg Cost/Claim

$60

National Cost Distribution

How much do providers bill per claim for J2248? Based on 2 providers billing this code nationally.

Median

$184.15

Average

$184.15

Std Dev

$207.57

Max

$330.92

Percentile Distribution (Cost per Claim)

p10
$66.73
p25
$110.77
Median
$184.15
p75
$257.54
p90
$301.57
p95
$316.25
p99
$327.99

50% of providers bill between $110.77 and $257.54 per claim for this code.

90% bill between $66.73 and $301.57.

Top 1% bill above $327.99.

About This Procedure

HCPCS code J2248 was billed by 2 providers across 402 claims, totaling $24K in Medicaid payments from 2018–2024. This code was used for 37 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

$184.15

Providers Billing

2

National Spending

$24K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.