J3262
Injection, tocilizumab, one milligram
Injection, tocilizumab, one milligram is the #1,990 most-billed Medicaid procedure code, with $10.4M in payments across 11K claims from 2018–2024. The national median cost per claim is $702.69. Costs vary widely — the 90th percentile is $1,765.39 per claim, 2.5× the median.
Total Paid
$10.4M
0.00% of all spending
Total Claims
11K
Providers
35
Avg Cost/Claim
$952
National Cost Distribution
How much do providers bill per claim for J3262? Based on 34 providers billing this code nationally.
Median
$702.69
Average
$852.90
Std Dev
$672.83
Max
$2,447.94
Percentile Distribution (Cost per Claim)
50% of providers bill between $266.84 and $1,252.60 per claim for this code.
90% bill between $67.20 and $1,765.39.
Top 1% bill above $2,351.37.
About This Procedure
HCPCS code J3262 (Injection, tocilizumab, one milligram) was billed by 35 providers across 11K claims, totaling $10.4M in Medicaid payments from 2018–2024. This code was used for 6K 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
$702.69
Providers Billing
34
National Spending
$10.4M
Avg/Median Ratio
1.21×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3262
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1992076681 | $1.8M |
| 2 | 1811080526 | $1.7M |
| 3 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $1.4M |
| 4 | 1700017118 | $934K |
| 5 | 1427536325 | $872K |
| 6 | 1639172372 | $656K |
| 7 | 1366489254 | $490K |
| 8 | 1841246568 | $487K |
| 9 | 1437199882 | $317K |
| 10 | Egleston Children's Hospital At Emory University Inc. Atlanta, GA · Pediatrics Pediatric Emergency Medicine | $296K |
| 11 | 1073702635 | $267K |
| 12 | 1588137228 | $165K |
| 13 | Loma Linda University Children's Hospital Loma Linda, CA · General Acute Care Hospital Children | $154K |
| 14 | The Nemours Foundation Orlando, FL · General Acute Care Hospital Children | $143K |
| 15 | 1598875460 | $137K |
| 16 | Arkansas Childrens Hospital Little Rock, AR · Clinic/Center, Critical Access Hospital | $113K |
| 17 | 1114965779 | $99K |
| 18 | Children's Hospital Medical Center Cincinnati, OH · Clinic/Center, Primary Care | $76K |
| 19 | Childrens Hospital Of Los Angeles Los Angeles, CA · Case Manager/Care Coordinator | $44K |
| 20 | Virginia Commonwealth University Health System Authority Richmond, VA · General Acute Care Hospital | $41K |
Showing top 20 of 35 providers billing this code