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

#5048 of 11K

J2310

HCPCS Procedure Code

HCPCS code J2310 is the #5,048 most-billed Medicaid procedure code, with $307K in payments across 31K claims from 2018–2024. The national median cost per claim is $8.59. Costs vary widely — the 90th percentile is $25.81 per claim, 3.0× the median.

Total Paid

$307K

0.00% of all spending

Total Claims

31K

Providers

156

Avg Cost/Claim

$10

National Cost Distribution

How much do providers bill per claim for J2310? Based on 112 providers billing this code nationally.

Median

$8.59

Average

$13.03

Std Dev

$14.85

Max

$104.07

Percentile Distribution (Cost per Claim)

p10
$1.15
p25
$4.24
Median
$8.59
p75
$16.88
p90
$25.81
p95
$37.87
p99
$77.12

50% of providers bill between $4.24 and $16.88 per claim for this code.

90% bill between $1.15 and $25.81.

Top 1% bill above $77.12.

About This Procedure

HCPCS code J2310 was billed by 156 providers across 31K claims, totaling $307K in Medicaid payments from 2018–2024. This code was used for 25K 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

$8.59

Providers Billing

112

National Spending

$307K

Avg/Median Ratio

1.52×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for J2310

#ProviderTotal Paid
11134194038$55K
2Uofl Health-louisville Inc

Louisville, KY · Psychiatric Hospital

$49K
3Sunrise Treatment Center, Llc

Cincinnati, OH · Clinic/Center, Adult Mental Health

$31K
41992718381$29K
5Dayton Osteopathic Hospital

Dayton, OH · General Acute Care Hospital

$10K
61467546135$10K
7Atlanticare Regional Medical Center

Pomona, NJ · General Acute Care Hospital

$10K
8Norton Hospitals, Inc

Louisville, KY · General Acute Care Hospital

$6K
9Norton Hospitals Inc

Louisville, KY · General Acute Care Hospital

$6K
101407115298$6K
111134184658$5K
12Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$5K
13Boston Medical Center Corporation

Boston, MA · General Acute Care Hospital

$5K
14Ohiohealth Corporation

Columbus, OH · General Acute Care Hospital

$4K
15Miami Valley Hospital

Dayton, OH · General Acute Care Hospital

$4K
16Sage River Counseling

Seattle, WA · Counselor Mental Health

$4K
17University Medical Center, Inc

Louisville, KY · Student in an Organized Health Care Education/Training Program

$4K
18University Of Kentucky

Lexington, KY · General Acute Care Hospital

$4K
19Charleston Area Medical Center Inc

Charleston, WV · General Acute Care Hospital

$3K
201841231461$3K

Showing top 20 of 156 providers billing this code