J2280
HCPCS Procedure Code
HCPCS code J2280 is the #9,009 most-billed Medicaid procedure code, with $557 in payments across 2K claims from 2018–2024. The national median cost per claim is $0.33. Costs vary widely — the 90th percentile is $0.69 per claim, 2.1× the median.
Total Paid
$557
0.00% of all spending
Total Claims
2K
Providers
14
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J2280? Based on 4 providers billing this code nationally.
Median
$0.33
Average
$0.37
Std Dev
$0.34
Max
$0.80
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.17 and $0.52 per claim for this code.
90% bill between $0.07 and $0.69.
Top 1% bill above $0.79.
About This Procedure
HCPCS code J2280 was billed by 14 providers across 2K claims, totaling $557 in Medicaid payments from 2018–2024. This code was used for 2K 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
$0.33
Providers Billing
4
National Spending
$557
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2280
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $354 |
| 2 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $170 |
| 3 | Kaiser Foundation Hospitals Anaheim, CA · General Acute Care Hospital | $31 |
| 4 | 1356496772 | $2 |
| 5 | 1013062769 | $0 |
| 6 | 1952476665 | $0 |
| 7 | 1639215502 | $0 |
| 8 | 1306991211 | $0 |
| 9 | 1134293814 | $0 |
| 10 | 1124173059 | $0 |
| 11 | 1598717480 | $0 |
| 12 | 1053336602 | $0 |
| 13 | 1932164795 | $0 |
| 14 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $0 |
Showing top 14 of 14 providers billing this code