J9203
HCPCS Procedure Code
HCPCS code J9203 is the #6,115 most-billed Medicaid procedure code, with $94K in payments across 315 claims from 2018–2024. The national median cost per claim is $297.27.
Total Paid
$94K
0.00% of all spending
Total Claims
315
Providers
1
Avg Cost/Claim
$297
National Cost Distribution
How much do providers bill per claim for J9203? Based on 1 providers billing this code nationally.
Median
$297.27
Average
$297.27
Std Dev
—
Max
$297.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $297.27 and $297.27 per claim for this code.
90% bill between $297.27 and $297.27.
Top 1% bill above $297.27.
About This Procedure
HCPCS code J9203 was billed by 1 providers across 315 claims, totaling $94K in Medicaid payments from 2018–2024. This code was used for 201 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
$297.27
Providers Billing
1
National Spending
$94K
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.