J2250
Injection, midazolam HCl, per one milligram
Injection, midazolam HCl, per one milligram is the #1,331 most-billed Medicaid procedure code, with $27.1M in payments across 9.3M claims from 2018–2024. The national median cost per claim is $0.32. Costs vary widely — the 90th percentile is $7.32 per claim, 22.9× the median.
Total Paid
$27.1M
0.00% of all spending
Total Claims
9.3M
Providers
3K
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2250? Based on 3K providers billing this code nationally.
Median
$0.32
Average
$4.11
Std Dev
$18.52
Max
$352.41
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.03 and $2.13 per claim for this code.
90% bill between $0.00 and $7.32.
Top 1% bill above $76.04.
About This Procedure
HCPCS code J2250 (Injection, midazolam HCl, per one milligram) was billed by 3K providers across 9.3M claims, totaling $27.1M in Medicaid payments from 2018–2024. This code was used for 8.0M 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
$0.32
Providers Billing
3K
National Spending
$27.1M
Avg/Median Ratio
12.84×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2250
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $2.8M |
| 2 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $1.7M |
| 3 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $1.5M |
| 4 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $910K |
| 5 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $800K |
| 6 | 1073518007 | $577K |
| 7 | Carolinas Medical Center Charlotte, NC · General Acute Care Hospital | $574K |
| 8 | 1386643294 | $522K |
| 9 | 1417432840 | $521K |
| 10 | 1184606600 | $421K |
| 11 | 1104856095 | $372K |
| 12 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $360K |
| 13 | 1013332014 | $281K |
| 14 | 1619964806 | $258K |
| 15 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $244K |
| 16 | 1699704254 | $243K |
| 17 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $226K |
| 18 | 1639124142 | $186K |
| 19 | 1104821305 | $182K |
| 20 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $176K |
Showing top 20 of 3K providers billing this code