J3489
Injection, zoledronic acid, one milligram
Injection, zoledronic acid, one milligram is the #2,942 most-billed Medicaid procedure code, with $3.0M in payments across 83K claims from 2018–2024. The national median cost per claim is $24.58. Costs vary widely — the 90th percentile is $85.91 per claim, 3.5× the median.
Total Paid
$3.0M
0.00% of all spending
Total Claims
83K
Providers
197
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for J3489? Based on 162 providers billing this code nationally.
Median
$24.58
Average
$60.81
Std Dev
$180.05
Max
$1,952.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $12.44 and $51.67 per claim for this code.
90% bill between $5.05 and $85.91.
Top 1% bill above $784.96.
About This Procedure
HCPCS code J3489 (Injection, zoledronic acid, one milligram) was billed by 197 providers across 83K claims, totaling $3.0M in Medicaid payments from 2018–2024. This code was used for 74K 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
$24.58
Providers Billing
162
National Spending
$3.0M
Avg/Median Ratio
2.47×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J3489
| # | Provider | Total Paid |
|---|---|---|
| 1 | University Of Utah Salt Lake City, UT · Clinic/Center, Dental | $322K |
| 2 | 1104856095 | $260K |
| 3 | 1003989831 | $183K |
| 4 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $136K |
| 5 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $111K |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $104K |
| 7 | Phoenix Children's Hospital Phoenix, AZ · General Acute Care Hospital Children | $89K |
| 8 | 1396087672 | $84K |
| 9 | Arthritis & Rheumatology Associates Of South Jersey Pc Vineland, NJ · Internal Medicine Rheumatology | $79K |
| 10 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $78K |
| 11 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $76K |
| 12 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $72K |
| 13 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $59K |
| 14 | Best Option Healthcare Puerto Rico Llc San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy | $59K |
| 15 | 1740557503 | $57K |
| 16 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $57K |
| 17 | 1528018389 | $51K |
| 18 | Arrowhead Regional Medical Center Colton, CA · General Acute Care Hospital | $50K |
| 19 | 1477549756 | $49K |
| 20 | Norton Hospitals, Inc Louisville, KY · General Acute Care Hospital | $49K |
Showing top 20 of 197 providers billing this code