J2274
HCPCS Procedure Code
HCPCS code J2274 is the #3,725 most-billed Medicaid procedure code, with $1.3M in payments across 156K claims from 2018–2024. The national median cost per claim is $2.97. Costs vary widely — the 90th percentile is $19.26 per claim, 6.5× the median.
Total Paid
$1.3M
0.00% of all spending
Total Claims
156K
Providers
241
Avg Cost/Claim
$8
National Cost Distribution
How much do providers bill per claim for J2274? Based on 181 providers billing this code nationally.
Median
$2.97
Average
$11.41
Std Dev
$49.15
Max
$641.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.46 and $9.96 per claim for this code.
90% bill between $0.09 and $19.26.
Top 1% bill above $91.04.
About This Procedure
HCPCS code J2274 was billed by 241 providers across 156K claims, totaling $1.3M in Medicaid payments from 2018–2024. This code was used for 126K 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
$2.97
Providers Billing
181
National Spending
$1.3M
Avg/Median Ratio
3.84×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2274
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1336243393 | $579K |
| 2 | 1770528994 | $72K |
| 3 | 1710958228 | $69K |
| 4 | 1114367497 | $52K |
| 5 | 1568469997 | $36K |
| 6 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $36K |
| 7 | 1750332565 | $35K |
| 8 | 1639124142 | $25K |
| 9 | 1205882503 | $23K |
| 10 | 1902803315 | $23K |
| 11 | 1427055839 | $21K |
| 12 | Bluefield Hospital Company Llc Bluefield, WV · General Acute Care Hospital | $17K |
| 13 | Children's Hospital Medical Center Of Akron Akron, OH · General Acute Care Hospital Children | $17K |
| 14 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $17K |
| 15 | 1063484483 | $15K |
| 16 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $14K |
| 17 | 1285688697 | $13K |
| 18 | 1790722346 | $12K |
| 19 | 1780655670 | $11K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $9K |
Showing top 20 of 241 providers billing this code