J9317
HCPCS Procedure Code
HCPCS code J9317 is the #3,860 most-billed Medicaid procedure code, with $1.1M in payments across 124 claims from 2018–2024. The national median cost per claim is $7,191.53.
Total Paid
$1.1M
0.00% of all spending
Total Claims
124
Providers
2
Avg Cost/Claim
$9K
National Cost Distribution
How much do providers bill per claim for J9317? Based on 2 providers billing this code nationally.
Median
$7,191.53
Average
$7,191.53
Std Dev
$9,259.69
Max
$13,739.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $3,917.74 and $10,465.32 per claim for this code.
90% bill between $1,953.46 and $12,429.60.
Top 1% bill above $13,608.16.
About This Procedure
HCPCS code J9317 was billed by 2 providers across 124 claims, totaling $1.1M in Medicaid payments from 2018–2024. This code was used for 66 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
$7,191.53
Providers Billing
2
National Spending
$1.1M
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.