J9219
HCPCS Procedure Code
HCPCS code J9219 is the #9,334 most-billed Medicaid procedure code, with $79 in payments across 20 claims from 2018–2024. The national median cost per claim is $3.95.
Total Paid
$79
0.00% of all spending
Total Claims
20
Providers
1
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J9219? Based on 1 providers billing this code nationally.
Median
$3.95
Average
$3.95
Std Dev
—
Max
$3.95
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.95 and $3.95 per claim for this code.
90% bill between $3.95 and $3.95.
Top 1% bill above $3.95.
About This Procedure
HCPCS code J9219 was billed by 1 providers across 20 claims, totaling $79 in Medicaid payments from 2018–2024. This code was used for 20 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
$3.95
Providers Billing
1
National Spending
$79
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.