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

#5743 of 11K

J2300

HCPCS Procedure Code

HCPCS code J2300 is the #5,743 most-billed Medicaid procedure code, with $146K in payments across 34K claims from 2018–2024. The national median cost per claim is $1.88. Costs vary widely — the 90th percentile is $8.53 per claim, 4.5× the median.

Total Paid

$146K

0.00% of all spending

Total Claims

34K

Providers

68

Avg Cost/Claim

$4

National Cost Distribution

How much do providers bill per claim for J2300? Based on 57 providers billing this code nationally.

Median

$1.88

Average

$4.79

Std Dev

$10.69

Max

$51.14

Percentile Distribution (Cost per Claim)

p10
$0.12
p25
$0.76
Median
$1.88
p75
$2.76
p90
$8.53
p95
$21.26
p99
$49.78

50% of providers bill between $0.76 and $2.76 per claim for this code.

90% bill between $0.12 and $8.53.

Top 1% bill above $49.78.

About This Procedure

HCPCS code J2300 was billed by 68 providers across 34K claims, totaling $146K in Medicaid payments from 2018–2024. This code was used for 20K 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

$1.88

Providers Billing

57

National Spending

$146K

Avg/Median Ratio

2.55×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J2300

#ProviderTotal Paid
11326007832$43K
21275528614$38K
31467571976$26K
41902187008$8K
51932273273$5K
61053596205$5K
71275530560$4K
81841555141$3K
91992436554$2K
101225061419$2K
111104813740$1K
121184625634$1K
13The Nemours Foundation

Wilmington, DE · General Acute Care Hospital Children

$1K
141629007430$1K
151669477089$1K
161811946734$1K
171538141627$818
181982843231$691
191841385119$551
201538101688$441

Showing top 20 of 68 providers billing this code

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