J2515
HCPCS Procedure Code
HCPCS code J2515 is the #6,334 most-billed Medicaid procedure code, with $73K in payments across 3K claims from 2018–2024. The national median cost per claim is $29.08.
Total Paid
$73K
0.00% of all spending
Total Claims
3K
Providers
3
Avg Cost/Claim
$29
National Cost Distribution
How much do providers bill per claim for J2515? Based on 3 providers billing this code nationally.
Median
$29.08
Average
$30.36
Std Dev
$6.10
Max
$36.99
Percentile Distribution (Cost per Claim)
50% of providers bill between $27.04 and $33.04 per claim for this code.
90% bill between $25.82 and $35.41.
Top 1% bill above $36.83.
About This Procedure
HCPCS code J2515 was billed by 3 providers across 3K claims, totaling $73K 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
$29.08
Providers Billing
3
National Spending
$73K
Avg/Median Ratio
1.04×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.