J3010
HCPCS Procedure Code
HCPCS code J3010 is the #1,055 most-billed Medicaid procedure code, with $45.4M in payments across 12.7M claims from 2018–2024. The national median cost per claim is $0.55. Costs vary widely — the 90th percentile is $7.30 per claim, 13.3× the median.
Total Paid
$45.4M
0.00% of all spending
Total Claims
12.7M
Providers
3K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J3010? Based on 3K providers billing this code nationally.
Median
$0.55
Average
$4.28
Std Dev
$23.30
Max
$764.96
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.07 and $2.72 per claim for this code.
90% bill between $0.01 and $7.30.
Top 1% bill above $53.01.
About This Procedure
HCPCS code J3010 was billed by 3K providers across 12.7M claims, totaling $45.4M in Medicaid payments from 2018–2024. This code was used for 10.4M 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
$0.55
Providers Billing
3K
National Spending
$45.4M
Avg/Median Ratio
7.78×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3010
| # | Provider | Total Paid |
|---|---|---|
| 1 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $14.1M |
| 2 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $2.6M |
| 3 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $1.6M |
| 4 | The Miriam Hospital Providence, RI · General Acute Care Hospital | $896K |
| 5 | 1477584993 | $839K |
| 6 | 1073518007 | $721K |
| 7 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $708K |
| 8 | 1386643294 | $537K |
| 9 | 1639124142 | $401K |
| 10 | 1871556217 | $348K |
| 11 | Children's Health System Of Texas Dallas, TX · General Acute Care Hospital Children | $316K |
| 12 | 1336243393 | $285K |
| 13 | St. Mary's Medical Center Inc Huntington, WV · General Acute Care Hospital | $284K |
| 14 | 1750332565 | $276K |
| 15 | 1013332014 | $275K |
| 16 | 1619964806 | $267K |
| 17 | 1558313213 | $250K |
| 18 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $248K |
| 19 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $242K |
| 20 | 1104856095 | $230K |
Showing top 20 of 3K providers billing this code