J2350
Ocrelizumab (Ocrevus) injection, 1 mg
Ocrelizumab (Ocrevus) injection, 1 mg is the #339 most-billed Medicaid procedure code, with $391.8M in payments across 24K claims from 2018–2024. The national median cost per claim is $17,264.74.
Total Paid
$391.8M
0.04% of all spending
Total Claims
24K
Providers
68
Avg Cost/Claim
$16K
National Cost Distribution
How much do providers bill per claim for J2350? Based on 66 providers billing this code nationally.
Median
$17,264.74
Average
$16,803.00
Std Dev
$8,362.81
Max
$39,931.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $11,292.48 and $21,455.64 per claim for this code.
90% bill between $6,044.40 and $27,928.31.
Top 1% bill above $34,519.69.
About This Procedure
HCPCS code J2350 (Ocrelizumab (Ocrevus) injection, 1 mg) was billed by 68 providers across 24K claims, totaling $391.8M in Medicaid payments from 2018–2024. This code was used for 21K 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
$17,264.74
Providers Billing
66
National Spending
$391.8M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2350
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $41.5M |
| 2 | 1437230034 | $39.3M |
| 3 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $34.3M |
| 4 | Saint Francis Hospital And Medical Center Hartford, CT · General Acute Care Hospital | $31.4M |
| 5 | 1265462659 | $24.5M |
| 6 | 1639134414 | $20.1M |
| 7 | University Of Cincinnati Medical Center, Llc Cincinnati, OH · General Acute Care Hospital | $15.0M |
| 8 | Mount Sinai Hospital New York, NY · Ambulance | $13.9M |
| 9 | State Of Connecticut Farmington, CT · Counselor, Professional | $12.3M |
| 10 | Miami Valley Hospital Dayton, OH · General Acute Care Hospital | $10.6M |
| 11 | 1104859131 | $9.1M |
| 12 | University Of Washington Seattle, WA · Clinic/Center, Dental | $8.7M |
| 13 | University Of Rochester Rochester, NY · General Acute Care Hospital | $8.7M |
| 14 | 1235125717 | $8.6M |
| 15 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $8.6M |
| 16 | Umass Memorial Medical Center, Inc. Worcester, MA · General Acute Care Hospital | $8.5M |
| 17 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $8.2M |
| 18 | 1194958223 | $7.6M |
| 19 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $6.6M |
| 20 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $6.4M |
Showing top 20 of 68 providers billing this code