J2372
HCPCS Procedure Code
HCPCS code J2372 is the #8,750 most-billed Medicaid procedure code, with $1K in payments across 3K claims from 2018–2024. The national median cost per claim is $0.14. Costs vary widely — the 90th percentile is $5.02 per claim, 35.9× the median.
Total Paid
$1K
0.00% of all spending
Total Claims
3K
Providers
15
Avg Cost/Claim
$0
National Cost Distribution
How much do providers bill per claim for J2372? Based on 8 providers billing this code nationally.
Median
$0.14
Average
$1.46
Std Dev
$2.53
Max
$6.53
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.02 and $1.43 per claim for this code.
90% bill between $0.02 and $5.02.
Top 1% bill above $6.38.
About This Procedure
HCPCS code J2372 was billed by 15 providers across 3K claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 2K 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
$0.14
Providers Billing
8
National Spending
$1K
Avg/Median Ratio
10.43×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2372
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1063616613 | $773 |
| 2 | Southern Ohio Medical Center Portsmouth, OH · Clinical Medical Laboratory | $390 |
| 3 | 1225033814 | $131 |
| 4 | 1881788933 | $16 |
| 5 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $2 |
| 6 | Jersey City Medical Center Jersey City, NJ · General Acute Care Hospital | $1 |
| 7 | 1003831132 | $1 |
| 8 | The Toledo Hospital Toledo, OH · Pediatrics | $1 |
| 9 | Mainehealth Portland, ME · Emergency Medicine | $0 |
| 10 | 1376593442 | $0 |
| 11 | 1851817308 | $0 |
| 12 | 1467496802 | $0 |
| 13 | 1730123175 | $0 |
| 14 | 1871672618 | $0 |
| 15 | 1659392819 | $0 |
Showing top 15 of 15 providers billing this code