J9175
HCPCS Procedure Code
HCPCS code J9175 is the #8,676 most-billed Medicaid procedure code, with $2K in payments across 182 claims from 2018–2024. The national median cost per claim is $8.82.
Total Paid
$2K
0.00% of all spending
Total Claims
182
Providers
1
Avg Cost/Claim
$9
National Cost Distribution
How much do providers bill per claim for J9175? Based on 1 providers billing this code nationally.
Median
$8.82
Average
$8.82
Std Dev
—
Max
$8.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $8.82 and $8.82 per claim for this code.
90% bill between $8.82 and $8.82.
Top 1% bill above $8.82.
About This Procedure
HCPCS code J9175 was billed by 1 providers across 182 claims, totaling $2K in Medicaid payments from 2018–2024. This code was used for 114 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
$8.82
Providers Billing
1
National Spending
$2K
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.