J2505
HCPCS Procedure Code
HCPCS code J2505 is the #577 most-billed Medicaid procedure code, with $140.6M in payments across 71K claims from 2018–2024. The national median cost per claim is $1,842.27. Costs vary widely — the 90th percentile is $4,318.14 per claim, 2.3× the median.
Total Paid
$140.6M
0.01% of all spending
Total Claims
71K
Providers
164
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J2505? Based on 156 providers billing this code nationally.
Median
$1,842.27
Average
$2,242.99
Std Dev
$1,662.25
Max
$8,591.02
Percentile Distribution (Cost per Claim)
50% of providers bill between $1,109.44 and $3,014.46 per claim for this code.
90% bill between $572.78 and $4,318.14.
Top 1% bill above $7,936.76.
About This Procedure
HCPCS code J2505 was billed by 164 providers across 71K claims, totaling $140.6M in Medicaid payments from 2018–2024. This code was used for 49K 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
$1,842.27
Providers Billing
156
National Spending
$140.6M
Avg/Median Ratio
1.22×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2505
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $8.7M |
| 2 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $8.6M |
| 3 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $7.6M |
| 4 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $5.3M |
| 5 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $5.0M |
| 6 | 1528018389 | $4.5M |
| 7 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $4.4M |
| 8 | Robert Wood Johnson University Hospital, Inc New Brunswick, NJ · General Acute Care Hospital | $3.8M |
| 9 | 1457361271 | $3.6M |
| 10 | 1295023547 | $3.4M |
| 11 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $3.3M |
| 12 | Mount Sinai Hospital New York, NY · Ambulance | $3.0M |
| 13 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $2.8M |
| 14 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $2.7M |
| 15 | 1164493847 | $2.7M |
| 16 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $2.6M |
| 17 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $2.5M |
| 18 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $2.5M |
| 19 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $2.2M |
| 20 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $2.2M |
Showing top 20 of 164 providers billing this code