J9202
HCPCS Procedure Code
HCPCS code J9202 is the #1,941 most-billed Medicaid procedure code, with $11.2M in payments across 24K claims from 2018–2024. The national median cost per claim is $483.75.
Total Paid
$11.2M
0.00% of all spending
Total Claims
24K
Providers
57
Avg Cost/Claim
$460
National Cost Distribution
How much do providers bill per claim for J9202? Based on 54 providers billing this code nationally.
Median
$483.75
Average
$474.36
Std Dev
$282.98
Max
$1,242.40
Percentile Distribution (Cost per Claim)
50% of providers bill between $318.87 and $609.64 per claim for this code.
90% bill between $94.21 and $848.38.
Top 1% bill above $1,145.01.
About This Procedure
HCPCS code J9202 was billed by 57 providers across 24K claims, totaling $11.2M in Medicaid payments from 2018–2024. This code was used for 22K 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
$483.75
Providers Billing
54
National Spending
$11.2M
Avg/Median Ratio
0.98×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J9202
| # | Provider | Total Paid |
|---|---|---|
| 1 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $1.7M |
| 2 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $1.3M |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $920K |
| 4 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $710K |
| 5 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $660K |
| 6 | University Of California Irvine Orange, CA · General Acute Care Hospital | $645K |
| 7 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $486K |
| 8 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $428K |
| 9 | 1528018389 | $407K |
| 10 | 1457409674 | $353K |
| 11 | 1568653780 | $325K |
| 12 | Yuma Regional Medical Center Yuma, AZ · General Acute Care Hospital | $314K |
| 13 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $280K |
| 14 | 1295023547 | $256K |
| 15 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $244K |
| 16 | 1457361271 | $217K |
| 17 | Women & Infants Hospital Of Rhode Island Providence, RI · Clinic/Center, Ambulatory Family Planning Facility | $193K |
| 18 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $185K |
| 19 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $148K |
| 20 | Norton Hospitals Inc Louisville, KY · General Acute Care Hospital | $143K |
Showing top 20 of 57 providers billing this code