J9041
HCPCS Procedure Code
HCPCS code J9041 is the #2,406 most-billed Medicaid procedure code, with $6.0M in payments across 28K claims from 2018–2024. The national median cost per claim is $157.53. Costs vary widely — the 90th percentile is $586.36 per claim, 3.7× the median.
Total Paid
$6.0M
0.00% of all spending
Total Claims
28K
Providers
20
Avg Cost/Claim
$219
National Cost Distribution
How much do providers bill per claim for J9041? Based on 19 providers billing this code nationally.
Median
$157.53
Average
$246.95
Std Dev
$223.48
Max
$785.57
Percentile Distribution (Cost per Claim)
50% of providers bill between $100.58 and $353.48 per claim for this code.
90% bill between $42.40 and $586.36.
Top 1% bill above $764.61.
About This Procedure
HCPCS code J9041 was billed by 20 providers across 28K claims, totaling $6.0M in Medicaid payments from 2018–2024. This code was used for 6K 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
$157.53
Providers Billing
19
National Spending
$6.0M
Avg/Median Ratio
1.57×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J9041
| # | Provider | Total Paid |
|---|---|---|
| 1 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $2.2M |
| 2 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.1M |
| 3 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $644K |
| 4 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $250K |
| 5 | 1164493847 | $189K |
| 6 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $127K |
| 7 | 1770690695 | $108K |
| 8 | County Of Santa Clara San Jose, CA · Case Manager/Care Coordinator | $88K |
| 9 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $87K |
| 10 | 1477549756 | $44K |
| 11 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $42K |
| 12 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $36K |
| 13 | 1699986331 | $32K |
| 14 | 1679660617 | $31K |
| 15 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $28K |
| 16 | 1295023547 | $20K |
| 17 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $18K |
| 18 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $9K |
| 19 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $6K |
| 20 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $0 |
Showing top 20 of 20 providers billing this code