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

#485 of 11K

J9035

Injection, bevacizumab, 10 mg

Injection, bevacizumab, 10 mg is the #485 most-billed Medicaid procedure code, with $191.3M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $43.71. Costs vary widely — the 90th percentile is $96.51 per claim, 2.2× the median.

Total Paid

$191.3M

0.02% of all spending

Total Claims

1.4M

Providers

1K

Avg Cost/Claim

$137

National Cost Distribution

How much do providers bill per claim for J9035? Based on 1K providers billing this code nationally.

Median

$43.71

Average

$200.10

Std Dev

$677.85

Max

$6,124.52

Percentile Distribution (Cost per Claim)

p10
$13.47
p25
$24.02
Median
$43.71
p75
$65.20
p90
$96.51
p95
$1,257.18
p99
$4,133.07

50% of providers bill between $24.02 and $65.20 per claim for this code.

90% bill between $13.47 and $96.51.

Top 1% bill above $4,133.07.

About This Procedure

HCPCS code J9035 (Injection, bevacizumab, 10 mg) was billed by 1K providers across 1.4M claims, totaling $191.3M in Medicaid payments from 2018–2024. This code was used for 1.1M 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

$43.71

Providers Billing

1K

National Spending

$191.3M

Avg/Median Ratio

4.58×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for J9035

#ProviderTotal Paid
11003989831$21.3M
2Alivia Specialty Llc

Guaynabo, PR · Pharmacy Specialty Pharmacy

$19.0M
31639101751$9.3M
4Dana-farber Cancer Institute, Inc.

Boston, MA · General Acute Care Hospital

$8.8M
5Stanford Health Care

Stanford, CA · General Acute Care Hospital

$7.0M
6Regents Of The University Of California

San Diego, CA · General Acute Care Hospital

$5.6M
7Best Option Healthcare Puerto Rico Llc

San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy

$5.4M
8University Of California Irvine

Orange, CA · General Acute Care Hospital

$5.4M
9Yale New Haven Hospital

New Haven, CT · General Acute Care Hospital

$4.4M
101760541569$3.5M
111770690695$2.6M
121649563636$2.5M
131114033404$2.4M
141104221035$2.3M
151013070572$2.2M
16Arrowhead Regional Medical Center

Colton, CA · General Acute Care Hospital

$2.1M
17Seventh-day Adventists Loma Linda University Medical Center

Loma Linda, CA · General Acute Care Hospital

$2.0M
181164493847$2.0M
19The General Hospital Corporation

Boston, MA · General Acute Care Hospital

$1.9M
201134164023$1.7M

Showing top 20 of 1K providers billing this code