J8501
HCPCS Procedure Code
HCPCS code J8501 is the #4,082 most-billed Medicaid procedure code, with $865K in payments across 44K claims from 2018–2024. The national median cost per claim is $12.97. Costs vary widely — the 90th percentile is $60.32 per claim, 4.7× the median.
Total Paid
$865K
0.00% of all spending
Total Claims
44K
Providers
91
Avg Cost/Claim
$20
National Cost Distribution
How much do providers bill per claim for J8501? Based on 60 providers billing this code nationally.
Median
$12.97
Average
$23.76
Std Dev
$32.27
Max
$147.69
Percentile Distribution (Cost per Claim)
50% of providers bill between $5.50 and $27.12 per claim for this code.
90% bill between $0.63 and $60.32.
Top 1% bill above $140.90.
About This Procedure
HCPCS code J8501 was billed by 91 providers across 44K claims, totaling $865K in Medicaid payments from 2018–2024. This code was used for 39K 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
$12.97
Providers Billing
60
National Spending
$865K
Avg/Median Ratio
1.83×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J8501
| # | Provider | Total Paid |
|---|---|---|
| 1 | Charleston Area Medical Center Inc Charleston, WV · General Acute Care Hospital | $128K |
| 2 | San Juan Regional Medical Center, Inc. Farmington, NM · Audiologist | $93K |
| 3 | Unm Hospital Albuquerque, NM · General Acute Care Hospital | $92K |
| 4 | 1124078696 | $64K |
| 5 | University Of Kentucky Lexington, KY · General Acute Care Hospital | $59K |
| 6 | 1316925506 | $57K |
| 7 | 1013981554 | $55K |
| 8 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $51K |
| 9 | 1427055821 | $36K |
| 10 | West Virginia University Hospitals, Inc Morgantown, WV · Clinical Medical Laboratory | $28K |
| 11 | 1184606600 | $26K |
| 12 | 1073518007 | $25K |
| 13 | Nationwide Children's Hospital Columbus, OH · General Acute Care Hospital | $19K |
| 14 | 1780653618 | $14K |
| 15 | St Elizabeth Medical Center, Inc Edgewood, KY · Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier | $13K |
| 16 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $8K |
| 17 | 1770693939 | $8K |
| 18 | Kaiser Foundation Hospitals Sacramento, CA · General Acute Care Hospital | $7K |
| 19 | 1710920327 | $6K |
| 20 | 1225033020 | $6K |
Showing top 20 of 91 providers billing this code