J9073
HCPCS Procedure Code
HCPCS code J9073 is the #8,721 most-billed Medicaid procedure code, with $1K in payments across 67 claims from 2018–2024. The national median cost per claim is $34.81.
Total Paid
$1K
0.00% of all spending
Total Claims
67
Providers
3
Avg Cost/Claim
$21
National Cost Distribution
How much do providers bill per claim for J9073? Based on 2 providers billing this code nationally.
Median
$34.81
Average
$34.81
Std Dev
$5.78
Max
$38.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $32.77 and $36.86 per claim for this code.
90% bill between $31.54 and $38.09.
Top 1% bill above $38.82.
About This Procedure
HCPCS code J9073 was billed by 3 providers across 67 claims, totaling $1K in Medicaid payments from 2018–2024. This code was used for 42 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
$34.81
Providers Billing
2
National Spending
$1K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.