J2370
HCPCS Procedure Code
HCPCS code J2370 is the #3,360 most-billed Medicaid procedure code, with $1.9M in payments across 620K claims from 2018–2024. The national median cost per claim is $0.50. Costs vary widely — the 90th percentile is $10.37 per claim, 20.7× the median.
Total Paid
$1.9M
0.00% of all spending
Total Claims
620K
Providers
763
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J2370? Based on 481 providers billing this code nationally.
Median
$0.50
Average
$6.72
Std Dev
$40.67
Max
$814.75
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.07 and $3.06 per claim for this code.
90% bill between $0.01 and $10.37.
Top 1% bill above $96.90.
About This Procedure
HCPCS code J2370 was billed by 763 providers across 620K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 516K 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
$0.50
Providers Billing
481
National Spending
$1.9M
Avg/Median Ratio
13.44×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2370
| # | Provider | Total Paid |
|---|---|---|
| 1 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $325K |
| 2 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $167K |
| 3 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $102K |
| 4 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $95K |
| 5 | 1184606600 | $56K |
| 6 | 1821147786 | $54K |
| 7 | 1073518007 | $54K |
| 8 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $48K |
| 9 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $40K |
| 10 | 1104856095 | $40K |
| 11 | Adventist Health System-sunbelt, Inc Orlando, FL · Ambulance, Land Transport | $36K |
| 12 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $35K |
| 13 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $34K |
| 14 | 1821002007 | $32K |
| 15 | Ashland Hospital Corporation Ashland, KY · Clinic/Center, Rural Health | $30K |
| 16 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $29K |
| 17 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $25K |
| 18 | Providence Health & Services Washington Anchorage, AK · General Acute Care Hospital | $23K |
| 19 | 1699704254 | $20K |
| 20 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $20K |
Showing top 20 of 763 providers billing this code