J9074
HCPCS Procedure Code
HCPCS code J9074 is the #7,107 most-billed Medicaid procedure code, with $28K in payments across 120 claims from 2018–2024. The national median cost per claim is $246.84.
Total Paid
$28K
0.00% of all spending
Total Claims
120
Providers
3
Avg Cost/Claim
$233
National Cost Distribution
How much do providers bill per claim for J9074? Based on 2 providers billing this code nationally.
Median
$246.84
Average
$246.84
Std Dev
$109.25
Max
$324.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $208.22 and $285.47 per claim for this code.
90% bill between $185.04 and $308.64.
Top 1% bill above $322.55.
About This Procedure
HCPCS code J9074 was billed by 3 providers across 120 claims, totaling $28K in Medicaid payments from 2018–2024. This code was used for 70 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
$246.84
Providers Billing
2
National Spending
$28K
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.