J3360
HCPCS Procedure Code
HCPCS code J3360 is the #5,555 most-billed Medicaid procedure code, with $177K in payments across 68K claims from 2018–2024. The national median cost per claim is $2.80. Costs vary widely — the 90th percentile is $17.29 per claim, 6.2× the median.
Total Paid
$177K
0.00% of all spending
Total Claims
68K
Providers
388
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for J3360? Based on 238 providers billing this code nationally.
Median
$2.80
Average
$7.14
Std Dev
$13.87
Max
$138.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.43 and $9.88 per claim for this code.
90% bill between $0.03 and $17.29.
Top 1% bill above $38.55.
About This Procedure
HCPCS code J3360 was billed by 388 providers across 68K claims, totaling $177K in Medicaid payments from 2018–2024. This code was used for 54K 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
$2.80
Providers Billing
238
National Spending
$177K
Avg/Median Ratio
2.55×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3360
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1194790055 | $10K |
| 2 | Regents Of The University Of California Sacramento, CA · General Acute Care Hospital | $10K |
| 3 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $10K |
| 4 | 1134194038 | $7K |
| 5 | Uofl Health-louisville Inc Louisville, KY · Psychiatric Hospital | $7K |
| 6 | 1013062769 | $6K |
| 7 | Children's Hospital Corporation Boston, MA · Clinic/Center | $6K |
| 8 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $5K |
| 9 | Pikeville Medical Center Inc Pikeville, KY · General Acute Care Hospital | $4K |
| 10 | 1144209271 | $4K |
| 11 | 1538244918 | $4K |
| 12 | 1538157508 | $4K |
| 13 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $3K |
| 14 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $3K |
| 15 | 1356390264 | $3K |
| 16 | Ohiohealth Corporation Columbus, OH · General Acute Care Hospital | $3K |
| 17 | 1457347239 | $3K |
| 18 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $3K |
| 19 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $3K |
| 20 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $3K |
Showing top 20 of 388 providers billing this code