Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#8374 of 11K

J9208

HCPCS Procedure Code

HCPCS code J9208 is the #8,374 most-billed Medicaid procedure code, with $3K in payments across 38 claims from 2018–2024. The national median cost per claim is $89.22.

Total Paid

$3K

0.00% of all spending

Total Claims

38

Providers

1

Avg Cost/Claim

$89

National Cost Distribution

How much do providers bill per claim for J9208? Based on 1 providers billing this code nationally.

Median

$89.22

Average

$89.22

Std Dev

Max

$89.22

Percentile Distribution (Cost per Claim)

p10
$89.22
p25
$89.22
Median
$89.22
p75
$89.22
p90
$89.22
p95
$89.22
p99
$89.22

50% of providers bill between $89.22 and $89.22 per claim for this code.

90% bill between $89.22 and $89.22.

Top 1% bill above $89.22.

About This Procedure

HCPCS code J9208 was billed by 1 providers across 38 claims, totaling $3K in Medicaid payments from 2018–2024. This code was used for 12 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

$89.22

Providers Billing

1

National Spending

$3K

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.