J2795
HCPCS Procedure Code
HCPCS code J2795 is the #3,217 most-billed Medicaid procedure code, with $2.2M in payments across 549K claims from 2018–2024. The national median cost per claim is $0.96. Costs vary widely — the 90th percentile is $15.42 per claim, 16.1× the median.
Total Paid
$2.2M
0.00% of all spending
Total Claims
549K
Providers
800
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J2795? Based on 493 providers billing this code nationally.
Median
$0.96
Average
$6.97
Std Dev
$22.69
Max
$300.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.10 and $4.88 per claim for this code.
90% bill between $0.02 and $15.42.
Top 1% bill above $89.23.
About This Procedure
HCPCS code J2795 was billed by 800 providers across 549K claims, totaling $2.2M in Medicaid payments from 2018–2024. This code was used for 433K 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
$0.96
Providers Billing
493
National Spending
$2.2M
Avg/Median Ratio
7.26×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J2795
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $153K |
| 2 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $138K |
| 3 | Owensboro Health Inc Owensboro, KY · General Acute Care Hospital | $120K |
| 4 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $101K |
| 5 | 1235139312 | $98K |
| 6 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $82K |
| 7 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $79K |
| 8 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $70K |
| 9 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $68K |
| 10 | 1457319485 | $64K |
| 11 | Scottish Rite Children's Medical Center Atlanta, GA · Pediatrics Pediatric Hematology-Oncology | $54K |
| 12 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $50K |
| 13 | 1447457775 | $50K |
| 14 | 1073518007 | $47K |
| 15 | 1538244918 | $44K |
| 16 | 1184606600 | $43K |
| 17 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $42K |
| 18 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $42K |
| 19 | 1285253252 | $39K |
| 20 | 1992701429 | $36K |
Showing top 20 of 800 providers billing this code