J9303
HCPCS Procedure Code
HCPCS code J9303 is the #6,215 most-billed Medicaid procedure code, with $83K in payments across 132 claims from 2018–2024. The national median cost per claim is $795.29.
Total Paid
$83K
0.00% of all spending
Total Claims
132
Providers
3
Avg Cost/Claim
$629
National Cost Distribution
How much do providers bill per claim for J9303? Based on 2 providers billing this code nationally.
Median
$795.29
Average
$795.29
Std Dev
$1,074.13
Max
$1,554.82
Percentile Distribution (Cost per Claim)
50% of providers bill between $415.53 and $1,175.05 per claim for this code.
90% bill between $187.67 and $1,402.91.
Top 1% bill above $1,539.63.
About This Procedure
HCPCS code J9303 was billed by 3 providers across 132 claims, totaling $83K in Medicaid payments from 2018–2024. This code was used for 64 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
$795.29
Providers Billing
2
National Spending
$83K
Avg/Median Ratio
1.00×
Normal distribution
Provider Coverage
We have 2 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.