J2323
Injection, natalizumab, one milligram
Injection, natalizumab, one milligram is the #504 most-billed Medicaid procedure code, with $180.2M in payments across 58K claims from 2018–2024. The national median cost per claim is $2,797.07. Costs vary widely — the 90th percentile is $6,377.04 per claim, 2.3× the median.
Total Paid
$180.2M
0.02% of all spending
Total Claims
58K
Providers
90
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J2323? Based on 85 providers billing this code nationally.
Median
$2,797.07
Average
$3,262.53
Std Dev
$2,083.77
Max
$7,766.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,395.68 and $4,859.75 per claim for this code.
90% bill between $800.15 and $6,377.04.
Top 1% bill above $7,561.48.
About This Procedure
HCPCS code J2323 (Injection, natalizumab, one milligram) was billed by 90 providers across 58K claims, totaling $180.2M in Medicaid payments from 2018–2024. This code was used for 49K 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
$2,797.07
Providers Billing
85
National Spending
$180.2M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2323
| # | Provider | Total Paid |
|---|---|---|
| 1 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $15.7M |
| 2 | 1639134414 | $13.6M |
| 3 | 1295842615 | $11.4M |
| 4 | 1447353594 | $10.2M |
| 5 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $8.1M |
| 6 | 1265462659 | $7.5M |
| 7 | 1437230034 | $7.1M |
| 8 | 1992749626 | $7.1M |
| 9 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $6.8M |
| 10 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $6.5M |
| 11 | 1104859131 | $5.8M |
| 12 | 1366486102 | $5.0M |
| 13 | 1437330974 | $3.8M |
| 14 | Mount Sinai Hospital New York, NY · Ambulance | $3.6M |
| 15 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $3.1M |
| 16 | 1053354100 | $2.9M |
| 17 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $2.9M |
| 18 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.9M |
| 19 | 1235125717 | $2.7M |
| 20 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $2.7M |
Showing top 20 of 90 providers billing this code