J2781
HCPCS Procedure Code
HCPCS code J2781 is the #6,095 most-billed Medicaid procedure code, with $96K in payments across 247 claims from 2018–2024. The national median cost per claim is $469.82.
Total Paid
$96K
0.00% of all spending
Total Claims
247
Providers
3
Avg Cost/Claim
$388
National Cost Distribution
How much do providers bill per claim for J2781? Based on 3 providers billing this code nationally.
Median
$469.82
Average
$420.46
Std Dev
$177.94
Max
$568.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $346.43 and $519.17 per claim for this code.
90% bill between $272.40 and $548.78.
Top 1% bill above $566.54.
About This Procedure
HCPCS code J2781 was billed by 3 providers across 247 claims, totaling $96K in Medicaid payments from 2018–2024. This code was used for 174 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
$469.82
Providers Billing
3
National Spending
$96K
Avg/Median Ratio
0.89×
Normal distribution
Provider Coverage
We have 3 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.