Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8235 of 11K

J3364

HCPCS Procedure Code

HCPCS code J3364 is the #8,235 most-billed Medicaid procedure code, with $5K in payments across 45 claims from 2018–2024. The national median cost per claim is $103.46.

Total Paid

$5K

0.00% of all spending

Total Claims

45

Providers

1

Avg Cost/Claim

$103

National Cost Distribution

How much do providers bill per claim for J3364? Based on 1 providers billing this code nationally.

Median

$103.46

Average

$103.46

Std Dev

Max

$103.46

Percentile Distribution (Cost per Claim)

p10
$103.46
p25
$103.46
Median
$103.46
p75
$103.46
p90
$103.46
p95
$103.46
p99
$103.46

50% of providers bill between $103.46 and $103.46 per claim for this code.

90% bill between $103.46 and $103.46.

Top 1% bill above $103.46.

About This Procedure

HCPCS code J3364 was billed by 1 providers across 45 claims, totaling $5K in Medicaid payments from 2018–2024. This code was used for 44 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

$103.46

Providers Billing

1

National Spending

$5K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.