J2272
HCPCS Procedure Code
HCPCS code J2272 is the #4,570 most-billed Medicaid procedure code, with $509K in payments across 273K claims from 2018–2024. The national median cost per claim is $0.98. Costs vary widely — the 90th percentile is $7.45 per claim, 7.6× the median.
Total Paid
$509K
0.00% of all spending
Total Claims
273K
Providers
595
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J2272? Based on 422 providers billing this code nationally.
Median
$0.98
Average
$2.81
Std Dev
$5.38
Max
$57.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.29 and $2.58 per claim for this code.
90% bill between $0.05 and $7.45.
Top 1% bill above $22.74.
About This Procedure
HCPCS code J2272 was billed by 595 providers across 273K claims, totaling $509K in Medicaid payments from 2018–2024. This code was used for 215K 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
$0.98
Providers Billing
422
National Spending
$509K
Avg/Median Ratio
2.87×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2272
| # | Provider | Total Paid |
|---|---|---|
| 1 | Texas Children's Hospital Houston, TX · General Acute Care Hospital Children | $118K |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $27K |
| 3 | 1548393127 | $15K |
| 4 | 1467459776 | $11K |
| 5 | 1306991211 | $9K |
| 6 | 1265539498 | $9K |
| 7 | 1417901091 | $9K |
| 8 | 1124098421 | $8K |
| 9 | 1689282147 | $8K |
| 10 | 1942247291 | $7K |
| 11 | 1033716147 | $7K |
| 12 | 1447231956 | $6K |
| 13 | 1649726738 | $6K |
| 14 | 1013981554 | $6K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $6K |
| 16 | 1356496772 | $6K |
| 17 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $5K |
| 18 | 1962442012 | $5K |
| 19 | 1003985755 | $5K |
| 20 | 1801852835 | $5K |
Showing top 20 of 595 providers billing this code