J9046
HCPCS Procedure Code
HCPCS code J9046 is the #8,032 most-billed Medicaid procedure code, with $7K in payments across 470 claims from 2018–2024. The national median cost per claim is $14.85.
Total Paid
$7K
0.00% of all spending
Total Claims
470
Providers
1
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for J9046? Based on 1 providers billing this code nationally.
Median
$14.85
Average
$14.85
Std Dev
—
Max
$14.85
Percentile Distribution (Cost per Claim)
50% of providers bill between $14.85 and $14.85 per claim for this code.
90% bill between $14.85 and $14.85.
Top 1% bill above $14.85.
About This Procedure
HCPCS code J9046 was billed by 1 providers across 470 claims, totaling $7K in Medicaid payments from 2018–2024. This code was used for 120 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
$14.85
Providers Billing
1
National Spending
$7K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.