J3030
HCPCS Procedure Code
HCPCS code J3030 is the #6,025 most-billed Medicaid procedure code, with $104K in payments across 5K claims from 2018–2024. The national median cost per claim is $34.95.
Total Paid
$104K
0.00% of all spending
Total Claims
5K
Providers
7
Avg Cost/Claim
$22
National Cost Distribution
How much do providers bill per claim for J3030? Based on 4 providers billing this code nationally.
Median
$34.95
Average
$33.00
Std Dev
$27.86
Max
$62.07
Percentile Distribution (Cost per Claim)
50% of providers bill between $15.79 and $52.15 per claim for this code.
90% bill between $6.32 and $58.11.
Top 1% bill above $61.68.
About This Procedure
HCPCS code J3030 was billed by 7 providers across 5K claims, totaling $104K 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
$34.95
Providers Billing
4
National Spending
$104K
Avg/Median Ratio
0.94×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3030
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1578601969 | $81K |
| 2 | 1184050973 | $22K |
| 3 | 1003138058 | $2K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $0 |
| 5 | 1154748416 | $0 |
| 6 | 1285164046 | $0 |
| 7 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $0 |
Showing top 7 of 7 providers billing this code