J2353
Injection, octreotide, depot form, intramuscular, one milligram
Injection, octreotide, depot form, intramuscular, one milligram is the #2,037 most-billed Medicaid procedure code, with $9.8M in payments across 4K claims from 2018–2024. The national median cost per claim is $2,280.20.
Total Paid
$9.8M
0.00% of all spending
Total Claims
4K
Providers
13
Avg Cost/Claim
$3K
National Cost Distribution
How much do providers bill per claim for J2353? Based on 12 providers billing this code nationally.
Median
$2,280.20
Average
$2,178.51
Std Dev
$1,542.64
Max
$5,136.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $851.69 and $3,080.42 per claim for this code.
90% bill between $398.18 and $3,900.50.
Top 1% bill above $5,007.96.
About This Procedure
HCPCS code J2353 (Injection, octreotide, depot form, intramuscular, one milligram) was billed by 13 providers across 4K claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 3K 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
$2,280.20
Providers Billing
12
National Spending
$9.8M
Avg/Median Ratio
0.96×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2353
| # | Provider | Total Paid |
|---|---|---|
| 1 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $4.4M |
| 2 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $2.4M |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $1.0M |
| 4 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $563K |
| 5 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $449K |
| 6 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $346K |
| 7 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $228K |
| 8 | 1679660617 | $191K |
| 9 | University Of California Irvine Orange, CA · General Acute Care Hospital | $75K |
| 10 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $32K |
| 11 | 1780653618 | $24K |
| 12 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $11K |
| 13 | Medical University Hospital Authority Charleston, SC · General Acute Care Hospital | $0 |
Showing top 13 of 13 providers billing this code