J3303
HCPCS Procedure Code
HCPCS code J3303 is the #5,985 most-billed Medicaid procedure code, with $110K in payments across 19K claims from 2018–2024. The national median cost per claim is $4.53. Costs vary widely — the 90th percentile is $13.22 per claim, 2.9× the median.
Total Paid
$110K
0.00% of all spending
Total Claims
19K
Providers
11
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for J3303? Based on 10 providers billing this code nationally.
Median
$4.53
Average
$6.37
Std Dev
$5.74
Max
$17.64
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.83 and $9.99 per claim for this code.
90% bill between $0.72 and $13.22.
Top 1% bill above $17.19.
About This Procedure
HCPCS code J3303 was billed by 11 providers across 19K claims, totaling $110K in Medicaid payments from 2018–2024. This code was used for 15K 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
$4.53
Providers Billing
10
National Spending
$110K
Avg/Median Ratio
1.41×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J3303
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1215096375 | $66K |
| 2 | 1326282088 | $18K |
| 3 | 1033317219 | $14K |
| 4 | 1023104023 | $9K |
| 5 | 1881618304 | $3K |
| 6 | 1407958457 | $276 |
| 7 | 1255497269 | $241 |
| 8 | 1912402520 | $184 |
| 9 | 1558596114 | $68 |
| 10 | 1699782821 | $26 |
| 11 | 1245275981 | $0 |
Showing top 11 of 11 providers billing this code