J3240
HCPCS Procedure Code
HCPCS code J3240 is the #6,553 most-billed Medicaid procedure code, with $56K in payments across 59 claims from 2018–2024. The national median cost per claim is $961.19.
Total Paid
$56K
0.00% of all spending
Total Claims
59
Providers
2
Avg Cost/Claim
$950
National Cost Distribution
How much do providers bill per claim for J3240? Based on 2 providers billing this code nationally.
Median
$961.19
Average
$961.19
Std Dev
$130.02
Max
$1,053.13
Percentile Distribution (Cost per Claim)
50% of providers bill between $915.22 and $1,007.16 per claim for this code.
90% bill between $887.64 and $1,034.74.
Top 1% bill above $1,051.29.
About This Procedure
HCPCS code J3240 was billed by 2 providers across 59 claims, totaling $56K in Medicaid payments from 2018–2024. This code was used for 27 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
$961.19
Providers Billing
2
National Spending
$56K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.