J2360
HCPCS Procedure Code
HCPCS code J2360 is the #4,101 most-billed Medicaid procedure code, with $845K in payments across 319K claims from 2018–2024. The national median cost per claim is $0.95. Costs vary widely — the 90th percentile is $14.31 per claim, 15.1× the median.
Total Paid
$845K
0.00% of all spending
Total Claims
319K
Providers
656
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2360? Based on 456 providers billing this code nationally.
Median
$0.95
Average
$5.14
Std Dev
$10.97
Max
$152.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.27 and $5.51 per claim for this code.
90% bill between $0.06 and $14.31.
Top 1% bill above $44.65.
About This Procedure
HCPCS code J2360 was billed by 656 providers across 319K claims, totaling $845K in Medicaid payments from 2018–2024. This code was used for 276K 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
$0.95
Providers Billing
456
National Spending
$845K
Avg/Median Ratio
5.41×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2360
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1619038247 | $65K |
| 2 | 1538141627 | $54K |
| 3 | 1326007832 | $49K |
| 4 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $37K |
| 5 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $35K |
| 6 | 1124078696 | $31K |
| 7 | 1770581894 | $28K |
| 8 | 1740208081 | $25K |
| 9 | 1447221742 | $23K |
| 10 | 1215936927 | $23K |
| 11 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $22K |
| 12 | 1235139312 | $20K |
| 13 | 1699704254 | $18K |
| 14 | 1215981303 | $17K |
| 15 | 1598125502 | $15K |
| 16 | 1477671535 | $15K |
| 17 | 1326107319 | $14K |
| 18 | 1629007430 | $13K |
| 19 | 1396761805 | $13K |
| 20 | 1083759633 | $10K |
Showing top 20 of 656 providers billing this code