J2930
HCPCS Procedure Code
HCPCS code J2930 is the #2,033 most-billed Medicaid procedure code, with $9.8M in payments across 1.8M claims from 2018–2024. The national median cost per claim is $3.03. Costs vary widely — the 90th percentile is $11.96 per claim, 3.9× the median.
Total Paid
$9.8M
0.00% of all spending
Total Claims
1.8M
Providers
2K
Avg Cost/Claim
$5
National Cost Distribution
How much do providers bill per claim for J2930? Based on 2K providers billing this code nationally.
Median
$3.03
Average
$5.90
Std Dev
$21.10
Max
$858.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.56 and $5.96 per claim for this code.
90% bill between $0.09 and $11.96.
Top 1% bill above $51.68.
About This Procedure
HCPCS code J2930 was billed by 2K providers across 1.8M claims, totaling $9.8M in Medicaid payments from 2018–2024. This code was used for 1.5M 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
$3.03
Providers Billing
2K
National Spending
$9.8M
Avg/Median Ratio
1.95×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J2930
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $2.4M |
| 2 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $208K |
| 3 | 1457442451 | $145K |
| 4 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $133K |
| 5 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $125K |
| 6 | 1073518007 | $111K |
| 7 | 1831188275 | $109K |
| 8 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $100K |
| 9 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $89K |
| 10 | 1588959084 | $76K |
| 11 | 1083793566 | $75K |
| 12 | 1538141627 | $70K |
| 13 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $69K |
| 14 | Vhs Childrens Hospital Of Michigan Inc Detroit, MI · Clinic/Center, Ambulatory Surgical | $68K |
| 15 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $60K |
| 16 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $58K |
| 17 | 1619038247 | $55K |
| 18 | 1295718450 | $47K |
| 19 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $46K |
| 20 | 1194790055 | $45K |
Showing top 20 of 2K providers billing this code