J3420
Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg
Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg is the #2,635 most-billed Medicaid procedure code, with $4.4M in payments across 2.2M claims from 2018–2024. The national median cost per claim is $1.04. Costs vary widely — the 90th percentile is $2.52 per claim, 2.4× the median.
Total Paid
$4.4M
0.00% of all spending
Total Claims
2.2M
Providers
3K
Avg Cost/Claim
$2
National Cost Distribution
How much do providers bill per claim for J3420? Based on 3K providers billing this code nationally.
Median
$1.04
Average
$1.87
Std Dev
$8.06
Max
$252.98
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.45 and $1.56 per claim for this code.
90% bill between $0.13 and $2.52.
Top 1% bill above $14.81.
About This Procedure
HCPCS code J3420 (Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg) was billed by 3K providers across 2.2M claims, totaling $4.4M in Medicaid payments from 2018–2024. This code was used for 1.7M 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
$1.04
Providers Billing
3K
National Spending
$4.4M
Avg/Median Ratio
1.80×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J3420
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1295720449 | $520K |
| 2 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $283K |
| 3 | 1629094891 | $206K |
| 4 | 1821271032 | $129K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $88K |
| 6 | 1750510277 | $85K |
| 7 | Rhode Island Hospital Providence, RI · General Acute Care Hospital | $81K |
| 8 | 1720316144 | $78K |
| 9 | 1649584319 | $60K |
| 10 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $49K |
| 11 | 1720401607 | $44K |
| 12 | Florida Cancer Specialists & Research Institute Llc Cape Coral, FL · Internal Medicine Medical Oncology | $42K |
| 13 | 1902196256 | $41K |
| 14 | 1457973026 | $40K |
| 15 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $37K |
| 16 | 1144228446 | $36K |
| 17 | 1487045530 | $33K |
| 18 | 1689729352 | $31K |
| 19 | Union Community Health Center Inc. Bronx, NY · Clinic/Center | $30K |
| 20 | 1528399193 | $29K |
Showing top 20 of 3K providers billing this code